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John Richard Fowler, PHD
Clinical Psychologist in St Louis Park, Minnesota
NPI 1588753941

John Richard Fowler is a Clinical Psychologist based in St Louis Park, MN and is specialized in Clinical. John Richard Fowler practices in St Louis Park, MN and has the professional credentials of PHD. The NPI Number for John Richard Fowler is 1588753941 and holds a License No. LP1765 (Minnesota).

The current practice location address for John Richard Fowler is 5353 Gamble Dr, St Louis Park, MN and can be reached out via phone at 952-545-8833.

Location: 5353 Gamble Dr, St Louis Park, MN, 55416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588753941
Provider Name
John Richard Fowler
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
5353 Gamble Dr, St Louis Park, MN, 55416
Phone Number
952-545-8833
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V41164257704871 01 HEALTH PARTNERS
04757F0 01 MN BCBS
1581524 01 MN MEDICA
institution
Provider Business Practice Location Address Details
Address
5353 Gamble Dr
City
St Louis Park
State
Minnesota
Zip
55416-1509
Phone Number
952-545-8833
Fax Number
person
Provider Business Mailing Address Details
Address
5353 Gamble Dr
City
St Louis Park
State
Minnesota
Zip
55416-1509
Phone Number
952-545-8833
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP1765 (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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