Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Wicks, PSYD, LP

Individual provider Clinical Psychologist · NPI 1689071862

Kelly Wicks, PSYD, LP is a Clinical Psychologist in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1100 Glenwood Ave
Minneapolis, MN 55405-1430
Phone: (612) 871-1454
Fax: (612) 871-1505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP5806 (MN)

Record details

NPI number1689071862
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LP
Sole proprietorYes
NPI enumeratedDecember 3, 2014
Last updated in NPPESOctober 13, 2016

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