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Mark Pederson, LP
Psychologist in Buffalo, Minnesota
NPI 1801994843

Mark Pederson is a Psychologist based in Buffalo, MN. Mark Pederson practices in Buffalo, MN and has the professional credentials of LP. The NPI Number for Mark Pederson is 1801994843 and holds a License No. LP2544 (Minnesota).

The current practice location address for Mark Pederson is 102 Marty Dr, Buffalo, MN and can be reached out via phone at 763-682-5420 and via fax at 763-682-5803.

Location: 102 Marty Dr, Buffalo, MN, 55313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801994843
Provider Name
Mark Pederson
Credential
LP
Provider Entity Type
Individual
Gender
Male
Address
102 Marty Dr, Buffalo, MN, 55313
Phone Number
763-682-5420
Fax Number
763-682-5803
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110563 01 MN UCARE
HP18919 01 MN HEALTHPARTNERS
62-20079 01 MN MEDICA
67D66PE 01 MN BLUE CROSS BLUE SHIELD
1000260 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
102 Marty Dr
City
Buffalo
State
Minnesota
Zip
55313
Phone Number
763-682-5420
Fax Number
763-682-5803
person
Provider Business Mailing Address Details
Address
102 Marty Dr
City
Buffalo
State
Minnesota
Zip
55313
Phone Number
763-682-5420
Fax Number
763-682-5803
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP2544 (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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