person
Mary G Mattison-wynn, PSYDLP
Psychologist in Maple Grove, Minnesota
NPI 1649202755

Mary G Mattison-wynn is a Psychologist based in Coon Rapids, MN. Mary G Mattison-wynn practices in Maple Grove, MN and has the professional credentials of PSYDLP. The NPI Number for Mary G Mattison-wynn is 1649202755 and holds a License No. (Minnesota).

The current practice location address for Mary G Mattison-wynn is 9550 Upland Ln N Ste 120, Maple Grove, MN and can be reached out via phone at 763-537-6000 and via fax at 763-537-6666. You can also correspond with Mary G Mattison-wynn through the mailing address at 2401 NORTHDALE BLVD NW STE 220, COON RAPIDS, MN - 55433-2923 (mailing address contact number: 763-537-6000).

Location: 9550 Upland Ln N Ste 120, Maple Grove, MN, 55433-2923
person
Provider Profile Details
NPI Number
1649202755
Provider Name
Mary G Mattison-wynn
Credential
PSYDLP
Provider Entity Type
Individual
Gender
Female
Address
9550 Upland Ln N Ste 120, Maple Grove, MN, 55433-2923
Phone Number
763-537-6000
Fax Number
763-537-6666
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P426 05 SD
institution
Provider Business Practice Location Address Details
Address
9550 Upland Ln N Ste 120
City
State
Zip
55369
Phone Number
763-537-6000
Fax Number
763-537-6666
person
Provider Business Mailing Address Details
Address
2401 Northdale Blvd Nw Ste 220
City
State
Zip
55433-2923
Phone Number
763-537-6000
Fax Number
763-537-6666
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
4961 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
()
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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