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Mr. Mark C Bordewick, PHDLP
Psychologist in St Cloud, Minnesota
NPI 1982648887

Mark C Bordewick is a Psychologist based in St Cloud, MN. Mark C Bordewick practices in St Cloud, MN and has the professional credentials of PHDLP. The NPI Number for Mark C Bordewick is 1982648887 and holds a License No. LP0984 (Minnesota).

The current practice location address for Mark C Bordewick is 1321 13Th St N, St Cloud, MN and can be reached out via phone at 320-252-5010 and via fax at 320-203-1855.

Location: 1321 13Th St N, St Cloud, MN, 56303-2614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982648887
Provider Name
Mark C Bordewick
Credential
PHDLP
Provider Entity Type
Individual
Gender
Male
Address
1321 13Th St N, St Cloud, MN, 56303-2614
Phone Number
320-252-5010
Fax Number
320-203-1855
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6100032 01 MEDICA
095248600 05 MN
117014C851 01 UCARE
922241012150 01 PREFERRED ONE
44544 01 OPTUM
HP25562 01 HEALTH PARTNERS
03Q37B0 01 BCBS
institution
Provider Business Practice Location Address Details
Address
1321 13Th St N
City
St Cloud
State
Minnesota
Zip
56303-2614
Phone Number
320-252-5010
Fax Number
320-203-1855
person
Provider Business Mailing Address Details
Address
1321 13Th St N
City
St Cloud
State
Minnesota
Zip
56303-2614
Phone Number
320-252-5010
Fax Number
320-203-1855
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP0984 (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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