Tanya Holthus, PSY.D., L.P.
Individual provider Active NPI Clinical Psychologist · Edina, MN
NPI 1356779896 · NPPES record last updated Mar 21, 2016
Key facts
- NPI
- 1356779896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- LP5682 (MN)
- Practice address
- 6600 France Ave S
Edina, MN 55435-1805 - Phone
- (952) 460-9038
- NPI assigned
- Oct 18, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Center of Natural Healing, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP5682 | MN | Yes |
Addresses
Primary practice location
6600 France Ave S
Edina, MN 55435-1805
Mailing address
3500 Texas Ave S
Saint Louis Park, MN 55426-4037
Other providers in Edina, MN
- Holly Wruck Inc
- Rachel Katherine Holm
- Kristin Holmvik
- David Carl Holte
- Katherine A Holten
- Chris Junkee Hong
- Loren Antone Hooyman
- Hope Psychiatry, LLC
- Brian D Hope
- Caroline Hoppmann
All providers in Edina, MN · Clinical Psychologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.