National Provider Identifier Database

MARK PEDERSON, LP – NPI #1801994843
Psychologist

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.


Contact Information

MARK PEDERSON, LP
102 MARTY DR
BUFFALO, MN55313
Phone: 763-682-5420
Fax: 763-682-5803
Website:
Specialty Taxonomy Code
* Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for MARK PEDERSON

NPI Number 1801994843
Credentials LP
Entity Individual
Enumeration date 09/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • MN License #: LP2544
  • MN Other: 67D66PE BLUE CROSS BLUE SHIELD
  • MN Other: HP18919 HEALTHPARTNERS
  • MN Other: 62-20079 MEDICA
  • MN Other: 1000260 PREFERRED ONE
  • MN Other: 110563 UCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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