Ryan Michael Engdahl, PHD, LP

Clinical Psychologist · St. Cloud, MN

Individual Active NPI

NPI number 1407148588

Practice location

1406 6TH Avenue North
St. Cloud Hospital
St. Cloud, MN 56303-1901
Phone
(320) 251-2700
Fax
(320) 229-5109

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NPI record

NPI
1407148588
Entity type
Individual (Type 1)
Enumeration date
May 9, 2011
Last updated
October 12, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X LP5519 MN
Psychologist 103T00000X — —

Mailing address

1900 Centra Care Circle #2475
Centra Care Health Plaza
St. Cloud, MN 56303-5000
Phone
(320) 229-5199
Fax
(320) 229-5109

About Dr. Engdahl

Ryan Michael Engdahl, PHD, LP is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 1406 6TH Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901. The NPI number 1407148588 was assigned on May 9, 2011 and the record was last updated on October 12, 2012.

Dr. Engdahl lists a license in the registry: #LP5519 (MN) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Michael Engdahl, PHD, LP?

The NPI number is 1407148588.

What is the phone number of Dr. Engdahl?

The phone number listed for the practice location is (320) 251-2700.

Where is Dr. Engdahl located?

1406 6TH Avenue North, St. Cloud Hospital, St. Cloud, MN 56303-1901.

What is the taxonomy code for Dr. Engdahl?

The primary taxonomy code is 103TC0700X – Clinical Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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