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

Mark R Fastner, MALP

Individual provider Clinical Psychologist · NPI 1942278577

Mark R Fastner, MALP is a Clinical Psychologist in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

1811 Weir Dr Ste 355 Mail Stop 13701A
Woodbury, MN 55125-2273
Phone: (651) 730-6151
Fax: (651) 730-1700
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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 2844 (MN)

Record details

NPI number1942278577
Entity typeIndividual (Type 1)
GenderMale
Credentials MALP
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESJuly 13, 2026
Mailing address8100 34th Ave S, 21110q, Bloomington, MN 55425-1672

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