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Mr. Edward C Modahl, MSEDLP
Psychologist in Alexandria, Minnesota
NPI 1831268812

Edward C Modahl is a Psychologist based in Alexandria, MN. Edward C Modahl practices in Alexandria, MN and has the professional credentials of MSEDLP. The NPI Number for Edward C Modahl is 1831268812 and holds a License No. LP0834 (Minnesota).

The current practice location address for Edward C Modahl is 324 Broadway St Ste 206, Alexandria, MN and can be reached out via phone at 320-762-1762 and via fax at 320-762-0796.

Location: 324 Broadway St Ste 206, Alexandria, MN, 56308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831268812
Provider Name
Edward C Modahl
Credential
MSEDLP
Provider Entity Type
Individual
Gender
Male
Address
324 Broadway St Ste 206, Alexandria, MN, 56308
Phone Number
320-762-1762
Fax Number
320-762-0796
Provider Enumeration Date
11/06/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
218G3MO 01 MN BLUE CROSS BLUE SHIELD
138070 01 BHP
571052900 01 MN PRIMEWEST HEALTH SYSTEMS
571052900 05 MN
6267221 01 UBH
institution
Provider Business Practice Location Address Details
Address
324 Broadway St Ste 206
City
Alexandria
State
Minnesota
Zip
56308-1482
Phone Number
320-762-1762
Fax Number
320-762-0796
person
Provider Business Mailing Address Details
Address
324 Broadway St Ste 206
City
Alexandria
State
Minnesota
Zip
56308-1482
Phone Number
320-762-1762
Fax Number
320-762-0796
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP0834 (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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