IndividualActive
Judy Tiesel, PH.D
NPI 1467664359 · Family Psychologist · Edina, MN
Provider details
- NPI number
- 1467664359
- Entity type
- Individual
- Primary specialty
- Family PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3280 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
7400 Metro Blvd
Suite 413
Edina, MN 55439-2316
Phone: (952) 835-6950
Fax: (952) 835-0072
Approximate (ZIP-level) locationGet directions
Mailing address
7400 Metro Blvd
Edina, MN 55439-2316
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.