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Pediatric Consultation Specialists, Pllc
Family Nurse Practitioner in Plymouth, Minnesota
NPI 1659539591

Pediatric Consultation Specialists, Pllc is a Family Nurse Practitioner based in Plymouth, MN and is specialized in Family. Pediatric Consultation Specialists, Pllc practices in Plymouth, MN. The NPI Number for Pediatric Consultation Specialists, Pllc is 1659539591 and holds a License No. LP4585 (Minnesota).

The current practice location address for Pediatric Consultation Specialists, Pllc is 3300 Fernbrook Lane N, Plymouth, MN and can be reached out via phone at 763-559-7050 and via fax at 763-559-7060.

Location: 3300 Fernbrook Lane N, Plymouth, MN, 55447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659539591
Provider Name
Pediatric Consultation Specialists, Pllc
Credential
Provider Entity Type
Organization
Address
3300 Fernbrook Lane N, Plymouth, MN, 55447
Phone Number
763-559-7050
Fax Number
763-559-7060
Provider Enumeration Date
05/28/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3300 Fernbrook Lane N
City
Plymouth
State
Minnesota
Zip
55447
Phone Number
763-559-7050
Fax Number
763-559-7060
person
Provider Business Mailing Address Details
Address
3300 Fernbrook Lane N
City
Plymouth
State
Minnesota
Zip
55447
Phone Number
763-559-7050
Fax Number
763-559-7060
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
LP4585 (Minnesota)
Definition
Definition to come...
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