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

Individual provider Clinical Psychologist · NPI 1093221129

Terri E Bly, PSYD, LP is a Clinical Psychologist in Saint Paul, Minnesota. Qualified in 2005, 21 years ago. Practices with Lyn-Lake Psychotherapy and Wellness Ltd, a 72-clinician group. Licensed in Minnesota.

Years since qualifying
21
Licensed in
MN
In the registry since
2017
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

91 Snelling Ave N
Saint Paul, MN 55104-6753
Phone: (612) 979-2276
Fax: (651) 925-0427
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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 4864 (MN)

Record details

NPI number1093221129
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedDecember 27, 2017
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address3528 Widgeon Way, Eagan, MN 55123-1003

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Lyn-Lake Psychotherapy And Wellness Ltd — 72 clinicians
Accepts Medicare assignment Not indicated

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