Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE SURDY, PHD LP
ActiveDR. THEODORE SURDY, PHD LP is a Clinical Psychologist healthcare provider located in MANKATO, Minnesota. NPI 1063463347 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MANKATO, MN
Registration Details
- NPI Number
- 1063463347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2006 (20.216236856446 yrs)
- Last Updated
- Mar 16, 2023
- License
-
LP3385 (MN)
Practice Information
- Address
-
1227 CALEDONIA STMANKATO, MN, 560014329Browse MN providers · Browse ZIP 56001
- Phone
- 5073888874
- Fax
- 5076854807
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in MANKATO, MN
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL WILLIAM ZENGA | ED. D. | 1396729703 |
| STEVEN P PETERSON | MS, LP | 1326027244 |
| DARCIE GILBERTSON JACOBS | PSY D | 1831178136 |
| PATRICIA R GUSTAFSON | MS LP | 1710943840 |
| DR. NANCY FENRICK | PHD | 1073564365 |
| DR. MICHAEL FATIS | PHD | 1912958117 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.