person
Dr. Tina Dinesh Shah, PSYD,LP
Clinical Psychologist in Burnsville, Minnesota
NPI 1497991806

Tina Dinesh Shah is a Clinical Psychologist based in Burnsville, MN and is specialized in Clinical. Tina Dinesh Shah practices in Burnsville, MN and has the professional credentials of PSYD,LP. The NPI Number for Tina Dinesh Shah is 1497991806 and holds a License No. 5012 (Minnesota).

The current practice location address for Tina Dinesh Shah is 12400 Portland Ave Ste 120, Burnsville, MN and can be reached out via phone at 612-276-2462 and via fax at 612-246-3682. You can also correspond with Tina Dinesh Shah through the mailing address at 12400 PORTLAND AVE STE 120, BURNSVILLE, MN - 55337-6817 (mailing address contact number: 612-276-2462).

Location: 12400 Portland Ave Ste 120, Burnsville, MN, 55337-6817
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Provider Profile Details
NPI Number
1497991806
Provider Name
Tina Dinesh Shah
Credential
PSYD,LP
Provider Entity Type
Individual
Gender
Female
Address
12400 Portland Ave Ste 120, Burnsville, MN, 55337-6817
Phone Number
612-276-2462
Fax Number
612-246-3682
Provider Enumeration Date
01/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
680002766 01 MN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
12400 Portland Ave Ste 120
City
State
Zip
55337-6817
Phone Number
612-276-2462
Fax Number
612-246-3682
person
Provider Business Mailing Address Details
Address
12400 Portland Ave Ste 120
City
State
Zip
55337-6817
Phone Number
612-276-2462
Fax Number
612-246-3682
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
5012 (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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