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Tharaki Siyaguna
Clinical Psychologist in Moorhead, Minnesota
NPI 1821571159

Tharaki Siyaguna is a Clinical Psychologist based in Moorhead, MN and is specialized in Clinical. Tharaki Siyaguna practices in Moorhead, MN. The NPI Number for Tharaki Siyaguna is 1821571159 and holds a License No. (Minnesota).

The current practice location address for Tharaki Siyaguna is 1547 30Th Ave S, Moorhead, MN and can be reached out via phone at 218-287-4338 and via fax at 218-287-5928.

Location: 1547 30Th Ave S, Moorhead, MN, 56560-5055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821571159
Provider Name
Tharaki Siyaguna
Credential
Provider Entity Type
Individual
Gender
Female
Address
1547 30Th Ave S, Moorhead, MN, 56560-5055
Phone Number
218-287-4338
Fax Number
218-287-5928
Provider Enumeration Date
09/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1547 30Th Ave S
City
Moorhead
State
Minnesota
Zip
56560-5055
Phone Number
218-287-4338
Fax Number
218-287-5928
person
Provider Business Mailing Address Details
Address
1547 30Th Ave S
City
Moorhead
State
Minnesota
Zip
56560-5055
Phone Number
218-287-4338
Fax Number
218-287-5928
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP6711 (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.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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