DR. EMILY ROSE VAN WYK


Address: 2355 Benjamin St Ne, Minneapolis, MN 55418
Phone: 6514858417

DR. EMILY ROSE VAN WYK (NPI# 1174939961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174939961
Entity Type Individual
Full Name DR. EMILY ROSE VAN WYK
Other Name DR. EMILY ROSE BUOEN; COISMAN
Credential PSY.D., LP
Practice Address 2355 Benjamin St Ne
Minneapolis
MN 55418
Mailing Address 2355 Benjamin St Ne
Minneapolis
MN 55418-4001
Practice Telephone 6514858417
Practice Fax Number 6519250427
Mailing Telephone 6514858417
Mailing Fax Number 6519250427
Enumeration Date 2014-07-01
Last Update Date 2020-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP5747 MN Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3525 Monterey Dr, Park Nicollet Melrose Center, St Louis Park, MN 554165275 9529936200 9529935599

Other Providers EMILY VAN WYK

NPI Name Taxonomy Address Enumeration
1710338132 Emily Van Wyk Counselor 2659 Sw 4th St, Suite 102, Redmond, OR 97756-6406 2016-06-27

Office Location

Street Address 2355 BENJAMIN ST NE
City MINNEAPOLIS
State MN
Zip Code 55418

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1053782961 Exel Mobility Inc Non-emergency Medical Transport (VAN) 2302 Central Avenue, Minneapolis, MN 55418 2015-10-19
1447620893 Bille Bus Transportation, Inc Non-emergency Medical Transport (VAN) 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 2015-09-29
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861008567 Natalia V Potapova Psychologist 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 2020-09-17
1962014167 Kate Esterline Psychologist 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 2020-08-19
1831740216 Seth Gordon Disner Psychologist 1 Veterans Dr # B68-2, Minneapolis, MN 55417-2309 2019-09-26
1366090763 Healing Therapy LLC Psychologist 1813 S 6th St Ste 201, Minneapolis, MN 55454-1208 2019-08-28
1891340469 Karin Fisher Psychologist 701 Park Ave # S1.260, Minneapolis, MN 55415-1623 2019-08-09
1053881698 Lauren Michelle Scholder Psychologist 401 Main St Se Apt 7009, Minneapolis, MN 55414 2018-11-27
1902306038 Ksa Psychological Services, LLC Psychologist 5603 Chicago Ave., Minneapolis, MN 55417 2018-02-15
1689030231 Oliver Ross Psychology and Consulting LLC Psychologist 3802 Grand Ave S, Suite A, Minneapolis, MN 55409-1233 2016-01-13
1295100881 Oliver Ross Psychologist 3802a Grand Avenue South, Minneapolis, MN 55409 2015-12-08
1841664190 Lakes Wellness Center LLC Psychologist 3248 Stevens Ave, Minneapolis, MN 55408-3214 2015-11-24
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Competitor

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City MINNEAPOLIS
Zip Code 55418

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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