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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THARAKI SIYAGUNA

Active

THARAKI SIYAGUNA is a Clinical Psychologist healthcare provider located in MOORHEAD, Minnesota. NPI 1821571159 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · MOORHEAD, MN

Registration Details

NPI Number
1821571159
Provider Type
Individual
Gender
Female
NPI Issued
Sep 12, 2018 (7.9530288008024 yrs)
Last Updated
Oct 16, 2025
License
LP6711 (MN)

Practice Information

Address
1547 30TH AVE S
MOORHEAD, MN, 565605055
Browse MN providers · Browse ZIP 56560
Phone
2182874338
Fax
2182875928
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in MOORHEAD, MN

Name Credential NPI
JOHN A. MOLSTRE PH.D. 1710920905
MS. JACQUELINE JANETTE CRAWFORD LP 1831135185
MICHAEL DANA PAULSON PHD 1831109818
NANCY JO HEIN-KOLO PSYD 1821182924
KRISLEA ERIN WEGNER PHD 1306930417
JAN KAREN WITTE-BAKKEN PHD 1013001114
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.