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Dr. Bruce Keith Thordal, PHD
Cognitive & Behavioral Psychologist in Eagan, Minnesota
NPI 1417091455

Bruce Keith Thordal is a Cognitive & Behavioral Psychologist based in Eagan, MN and is specialized in Cognitive & Behavioral. Bruce Keith Thordal practices in Eagan, MN and has the professional credentials of PHD. The NPI Number for Bruce Keith Thordal is 1417091455 and holds a License No. LP1135 (Minnesota).

The current practice location address for Bruce Keith Thordal is 2870 Highview Ter, Eagan, MN and can be reached out via phone at 612-860-1238 and via fax at 952-948-1277.

Location: 2870 Highview Ter, Eagan, MN, 55121-1110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417091455
Provider Name
Bruce Keith Thordal
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2870 Highview Ter, Eagan, MN, 55121-1110
Phone Number
612-860-1238
Fax Number
952-948-1277
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201747400 01 MN MEDICAL ASSISTANCE
institution
Provider Business Practice Location Address Details
Address
2870 Highview Ter
City
Eagan
State
Minnesota
Zip
55121-1110
Phone Number
612-860-1238
Fax Number
952-948-1277
person
Provider Business Mailing Address Details
Address
2870 Highview Ter
City
Eagan
State
Minnesota
Zip
55121-1110
Phone Number
612-860-1238
Fax Number
952-948-1277
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
103TB0200X
License No.
LP1135 (Minnesota)
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
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