Morgan Bobo

Clinical Psychologist · Champlin, MN

Individual Active NPI

NPI number 1629600010

Practice location

11165 Zealand Ave N
Champlin, MN 55316-3595
Phone
(612) 584-0966

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NPI record

NPI
1629600010
Entity type
Individual (Type 1)
Enumeration date
February 4, 2020
Last updated
February 13, 2025
Certified
February 13, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X LP6774 MN
Student in an Organized Health Care Education/Training Program 390200000X — —

About Morgan Bobo

Morgan Bobo is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 11165 Zealand Ave N, Champlin, MN 55316-3595. The NPI number 1629600010 was assigned on February 4, 2020 and the record was last updated on February 13, 2025.

Morgan Bobo lists a license in the registry: #LP6774 (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 Morgan Bobo?

The NPI number is 1629600010.

What is the phone number of Morgan Bobo?

The phone number listed for the practice location is (612) 584-0966.

Where is Morgan Bobo located?

11165 Zealand Ave N, Champlin, MN 55316-3595.

What is the taxonomy code for Morgan Bobo?

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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