Pediatric & Family Psychology Center Pa
Psychology Clinic
2440 N Charles Street, Suite 236, North Saint Paul
Minnesota, 55109-3050
651-771-4766 651-771-4784
Maps & DirectionsPediatric & Family Psychology Center Pa is a Psychology Clinic in North Saint Paul, Minnesota. It is located at 2440 N Charles Street, Suite 236, North Saint Paul, MN and its contact number is 651-771-4766. The authorized person for Pediatric & Family Psychology Center Pa is Dr. C L Moore
who is Owner of the clinic and his/her contact number is 651-771-4766. The primary license number for Pediatric & Family Psychology Center Pa is 1 (Marriage & Family Therapist) in Minnesota.
Pediatric & Family Psychology Center Pa Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Pediatric & Family Psychology Center Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pediatric & Family Psychology Center Pa |
| Specialization: | General Psychology |
| Clinic Address: | 2440 N Charles Street, Suite 236, North Saint Paul,
Minnesota, 55109-3050 |
| Phone: | 651-771-4766 |
| Fax: | 651-771-4784 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. C L Moore |
| Position: | Owner |
| Contact Number: | 651-771-4766 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pediatric & Family Psychology Center Pa clinic are as mentioned below.
| NPI Number: | 1104826510 |
| NPI Enumeration Date: | 28 Jul, 2005 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric & Family Psychology Center Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Marriage & Family Therapist | 1 | Minnesota | Primary | |
| Psychologist | PY00000625 | Washington | Secondary | |
| Psychologist | LP2246 | Minnesota | Secondary | |
| Psychologist | 440 | Colorado | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6049644 | Other | Minnesota | State Of Mn |
| HP19293 | Other | Minnesota | Health Part Ners |
| 39036800 | Medicaid | Wisconsin | |
| 104097 | Other | Minnesota | Ucare |
| 212T8PE | Other | Minnesota | Bc/bs/bt |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pediatric & Family Psychology Center Pa
2440 N Charles Street, Suite 236
North Saint Paul, Minnesota |
| Zip: | 55109-3050 |
| Phone Number: | 651-771-4766 |
| Fax Number: | 651-771-4784 |
Patients can reach Pediatric & Family Psychology Center Pa at
2440 N Charles Street, Suite 236, North Saint Paul, Minnesota or can
call to book an appointment on 651-771-4766.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.