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Melissa B Severance, MALP
Psychologist in Lake Elmo, Minnesota
NPI 1598821217

Melissa B Severance is a Psychologist based in Lake Elmo, MN. Melissa B Severance practices in Lake Elmo, MN and has the professional credentials of MALP. The NPI Number for Melissa B Severance is 1598821217 and holds a License No. LP3637 (Minnesota).

The current practice location address for Melissa B Severance is 11550 Stillwater Blvd N Ste 102, Lake Elmo, MN and can be reached out via phone at 651-777-3336.

Location: 11550 Stillwater Blvd N Ste 102, Lake Elmo, MN, 55042-8613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598821217
Provider Name
Melissa B Severance
Credential
MALP
Provider Entity Type
Individual
Gender
Female
Address
11550 Stillwater Blvd N Ste 102, Lake Elmo, MN, 55042-8613
Phone Number
651-777-3336
Fax Number
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41D05SE 01 MN BCBS INDIVIDUAL PROVIDER
41D04SE 01 MN BCBS GROUP NUMBER
6292882 01 MN MEDICA ID
institution
Provider Business Practice Location Address Details
Address
11550 Stillwater Blvd N Ste 102
City
Lake Elmo
State
Minnesota
Zip
55042-8613
Phone Number
651-777-3336
Fax Number
person
Provider Business Mailing Address Details
Address
11550 Stillwater Blvd N Ste 102
City
Lake Elmo
State
Minnesota
Zip
55042-8613
Phone Number
651-777-3336
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP3637 (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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