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

Individual provider Psychologist · NPI 1902048820

Tracey Lichner, PHD is a Psychologist in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota and Pennsylvania.

Licensed in
MN, PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

310 4th Ave S Ste 5010 PMB#93151
Minneapolis, MN 55415-3309
Phone: (612) 444-1769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS016298 (PA)
Psychologist Taxonomy 103T00000X · Licence LP5680 (MN)

Record details

NPI number1902048820
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 25, 2009
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address310 4th Ave South, Suite 5010, Pmb#93151, Minneapolis, MN 55415-3309

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