Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Minneapolis Southwest Mental Health Clinic, Limited

Organization Psychologist · NPI 1649485111

Minneapolis Southwest Mental Health Clinic, Limited provides Psychologist services in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007

Practice location Address checks out

4010 W 65th St Ste 101
Edina, MN 55435-1724
Phone: (952) 831-4499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP2893 (MN)

Record details

NPI number1649485111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Peterson — President · (952) 831-4499
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4010 W 65th St Ste 101, Edina, MN 55435-1724

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