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Dr. Theodore Surdy, PHDLP
Clinical Psychologist in Mankato, Minnesota
NPI 1063463347

Theodore Surdy is a Clinical Psychologist based in Mankato, MN and is specialized in Clinical. Theodore Surdy practices in Mankato, MN and has the professional credentials of PHDLP. The NPI Number for Theodore Surdy is 1063463347 and holds a License No. LP3385 (Minnesota).

The current practice location address for Theodore Surdy is 1227 Caledonia St, Mankato, MN and can be reached out via phone at 507-388-8874 and via fax at 507-685-4807.

Location: 1227 Caledonia St, Mankato, MN, 56001-4329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063463347
Provider Name
Theodore Surdy
Credential
PHDLP
Provider Entity Type
Individual
Gender
Male
Address
1227 Caledonia St, Mankato, MN, 56001-4329
Phone Number
507-388-8874
Fax Number
507-685-4807
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06T04SU 01 MN BXBS
114945 01 MN UCARE MINNESOTA
114945 01 FM UNITED
497823400 05 MN
HP28628 01 MN HEALTH PARTNERS
institution
Provider Business Practice Location Address Details
Address
1227 Caledonia St
City
Mankato
State
Minnesota
Zip
56001-4329
Phone Number
507-388-8874
Fax Number
507-685-4807
person
Provider Business Mailing Address Details
Address
1227 Caledonia St
City
Mankato
State
Minnesota
Zip
56001-4329
Phone Number
507-388-8874
Fax Number
507-685-4807
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP3385 (Minnesota)
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.
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