IndividualActive
Anisa Mohammed, PSYD, LP
NPI 1215364625 · Clinical Psychologist · Shakopee, MN
Provider details
- NPI number
- 1215364625
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, LP
- Sex
- Female
- Sole proprietor
- No
- License
- LP5667 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
200 4th Ave W
#300
Shakopee, MN 55379-1220
Phone: (952) 496-8614
Approximate (ZIP-level) locationGet directions
Mailing address
200 4th Ave W
Shakopee, MN 55379-1220
Registry dates
- Enumerated
- 2013-09-30
- Last updated
- 2013-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.