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NPI 1124049903

IndividualActive

Anastasia Ristau, PHD LP

NPI 1124049903 · Psychologist · Chaska, MN

Provider details

NPI number: 1124049903
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PHD LP
Sex: Female
Sole proprietor: No
License: LP4538 (MN)

Practice location

111 Hundertmark Rd Ste 205n

Chaska, MN 55318-1586

Phone: (952) 903-1350

Fax: (952) 426-3856

More MN providers

Mailing address

9400 Zane Ave N

Brooklyn Park, MN 55443-1814

Registry dates

Enumerated: 2006-07-21
Last updated: 2020-11-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Anastasia Ristau, PHD LP — NPI 1124049903, Chaska, MN | NPI Central