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Dr. Thomas Arthur Breitenbucher, PHD,LP
Clinical Psychologist in Brooklyn Center, Minnesota
NPI 1699846154

Thomas Arthur Breitenbucher is a Clinical Psychologist based in Brooklyn Center, MN and is specialized in Clinical. Thomas Arthur Breitenbucher practices in Brooklyn Center, MN and has the professional credentials of PHD,LP. The NPI Number for Thomas Arthur Breitenbucher is 1699846154 and holds a License No. LP2794 (Minnesota).

The current practice location address for Thomas Arthur Breitenbucher is 6120 Earle Brown Dr, Brooklyn Center, MN and can be reached out via phone at 763-531-0566 and via fax at 763-531-0602. You can also correspond with Thomas Arthur Breitenbucher through the mailing address at 6120 EARLE BROWN DR, BROOKLYN CENTER, MN - 55430-2123 (mailing address contact number: 763-531-0566).

Location: 6120 Earle Brown Dr, Brooklyn Center, MN, 55430-2123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699846154
Provider Name
Thomas Arthur Breitenbucher
Credential
PHD,LP
Provider Entity Type
Individual
Gender
Male
Address
6120 Earle Brown Dr, Brooklyn Center, MN, 55430-2123
Phone Number
763-531-0566
Fax Number
763-531-0602
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104654 01 MN UCARE
54R37BR 01 MN BLUECROSSBLUESHIELD
433853700 05 MN
61-16175 01 MN MEDICA
institution
Provider Business Practice Location Address Details
Address
6120 Earle Brown Dr
City
Brooklyn Center
State
Minnesota
Zip
55430-2123
Phone Number
763-531-0566
Fax Number
763-531-0602
person
Provider Business Mailing Address Details
Address
6120 Earle Brown Dr
City
Brooklyn Center
State
Minnesota
Zip
55430-2123
Phone Number
763-531-0566
Fax Number
763-531-0602
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LP2794 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP2794 (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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