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Randall R Pottebaum
Psychologist in Burnsville, Minnesota
NPI 1528042223

Randall R Pottebaum is a Psychologist based in St Louis Park, MN. Randall R Pottebaum practices in Burnsville, MN. The NPI Number for Randall R Pottebaum is 1528042223 and holds a License No. 55 (Minnesota).

The current practice location address for Randall R Pottebaum is 14000 Fairview Dr, Burnsville, MN and can be reached out via phone at 952-993-8608.

Location: 14000 Fairview Dr, Burnsville, MN, 55426-1728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528042223
Provider Name
Randall R Pottebaum
Credential
Provider Entity Type
Individual
Gender
Male
Address
14000 Fairview Dr, Burnsville, MN, 55426-1728
Phone Number
952-993-8608
Fax Number
Provider Enumeration Date
12/06/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
14000 Fairview Dr
City
Burnsville
State
Minnesota
Zip
55337-5713
Phone Number
952-993-8608
Fax Number
person
Provider Business Mailing Address Details
Address
14000 Fairview Dr
City
Burnsville
State
Minnesota
Zip
55337-5713
Phone Number
952-993-8608
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
55 (Minnesota)
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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