Dr. Bruce K. Thordal PHD
Cognitive & Behavioral Psychologist in Eagan, MN(View on Map)
Full Name
Dr. Bruce Keith Thordal PHD
NPI Number
1417091455
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/15/2007
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
LP1135
Contact
Information
Purpose
Mailing
Location
Address
2870 HIGHVIEW TER
2870 HIGHVIEW TER
City
Eagan
Eagan
State
MN
MN
Postal Code
55121-1110
55121-1110
Country
US
US
Telephone Number
(612) 860-1238
(612) 860-1238
Identifiers
Identifier
201747400
Identifier State
MN
Identifier Issuer
MEDICAL ASSISTANCE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007
Provider Address
Other Cognitive & Behavioral Psychologist in Eagan, Minnesota:
Jean Johnson PSYD
Eagan, MNSpecialties: Adult Development & Aging PsychologistClinical Child & Adolescent PsychologistClinical PsychologistCognitive & Behavioral PsychologistFamily PsychologistIntellectual & Developmental Disabilities PsychologistMental Health CounselorPsychologist