Taxonomy Code 103TC0700X(103tc0700x)
Clinical Psychologist. Providers: 9

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Clinical Psychologist Providers

NPI Name Type Address

1649683939

PHD, LP Lyle Walter Wagner III

Individual

3907 Coon Rapids Blvd Nw

Coon Rapids, MN

1427239847

DR. PSY.D. LP Janet Carol Stam I

Individual

277 Coon Rapids Blvd Nw

Suite 115

Coon Rapids, MN

1780755256

PSYD Heidi Jo Hathaway

Individual

3833 Coon Rapids Blvd Nw

Suite 120

Coon Rapids, MN

1750850988

LP Shanna Weiss

Individual

1930 Coon Rapids Blvd Nw

Coon Rapids, MN

1770194417

Vayda Mental Health Collaborative Pllc

Organization

299 Coon Rapids Blvd Nw Ste 100

Coon Rapids, MN

1205284445

DR. LP Julie Brisco

Individual

4050 Coon Rapids Blvd

Coon Rapids, MN

1033562137

DR. PH.D. Ciara Lee Stigen

Individual

4050 Coon Rapids Blvd Nw

Coon Rapids, MN

1013242536

PSYD Abby O'keefe Stanislaw

Individual

9055 Springbrook Dr Nw

Coon Rapids, MN

1720117997

MRS. PSYD Brenda Janice Crespo

Individual

9120 Springbrook Dr Nw

Coon Rapids, MN

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Taxonomy Code 103TC0700X
Specialization Clinical
Display Name Clinical Psychologist
Taxonomy Group Behavioral Health & Social Service Providers
Taxonomy Classification Psychologist
Definition A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Effective Date September 30, 2009
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Psychologist Codes

Addiction (Substance Use Disorder) Psychologist

103TA0400X • providers: 623

Adult Development & Aging Psychologist

103TA0700X • providers: 215

Clinical Child & Adolescent Psychologist

103TC2200X • providers: 4,646

Cognitive & Behavioral Psychologist

103TB0200X • providers: 2,097

Counseling Psychologist

103TC1900X • providers: 7,770

Deactivated - Psychologist

103TE1000X • providers: 0

Deactivated - Psychologist Men & Masculinity

103TM1700X • providers: 0

Deactivated - Psychologist Psychotherapy

103TP2700X • providers: 0

Deactivated - Psychotherapy Women

103TW0100X • providers: 0

Exercise & Sports Psychologist

103TE1100X • providers: 92

Family Psychologist

103TF0000X • providers: 337

Forensic Psychologist

103TF0200X • providers: 765

Group Psychotherapy Psychologist

103TP2701X • providers: 552

Health Psychologist

103TH0004X • providers: 432

Health Service Psychologist

103TH0100X • providers: 828

Intellectual & Developmental Disabilities Psychologist

103TM1800X • providers: 886

Prescribing (Medical) Psychologist

103TP0016X • providers: 528

Psychoanalysis Psychologist

103TP0814X • providers: 325

Psychologist

103T00000X • providers: 49,470

Rehabilitation Psychologist

103TR0400X • providers: 714

School Psychologist

103TS0200X • providers: 8,926