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Dr. Keith Wayne Fridel, PHD
Psychologist in Shakopee, Minnesota
NPI 1215345244

Keith Wayne Fridel is a Psychologist based in Bloomington, MN. Keith Wayne Fridel practices in Shakopee, MN and has the professional credentials of PHD. The NPI Number for Keith Wayne Fridel is 1215345244 and holds a License No. 071008852 (Minnesota).

The current practice location address for Keith Wayne Fridel is 1415 Saint Francis Ave, Shakopee, MN and can be reached out via phone at 952-993-7750. You can also correspond with Keith Wayne Fridel through the mailing address at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN - 55425-4516 (mailing address contact number: ).

Location: 1415 Saint Francis Ave, Shakopee, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215345244
Provider Name
Keith Wayne Fridel
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1415 Saint Francis Ave, Shakopee, MN, 55425-4516
Phone Number
952-993-7750
Fax Number
Provider Enumeration Date
07/22/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
071008852 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1415 Saint Francis Ave
City
Shakopee
State
Minnesota
Zip
55379-3374
Phone Number
952-993-7750
Fax Number
person
Provider Business Mailing Address Details
Address
8170 33Rd Ave S # Ms 21110Q
City
Bloomington
State
Minnesota
Zip
55425-4516
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
071008852 (Illinois)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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