IndividualActive
Lidan Gu
NPI 1164859443 · Clinical Child & Adolescent Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1164859443
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5673 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2525 Chicago Ave
Mail Stop 17-217
Minneapolis, MN 55404-4518
Phone: (612) 813-6568
Approximate (ZIP-level) locationGet directions
Mailing address
2525 Chicago Ave
Minneapolis, MN 55404-4518
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2013-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.