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GLENACE ECKLUND EDWALL PH.D., PSY.D.
NPI 1902796196
Psychologist - Clinical in Bloomington, MN

Active since July 08, 2025
1801 AMERICAN BLVD E STE 1, BLOOMINGTON, MN 55425(612) 767-7222 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenace Ecklund Edwall Ph.d., Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENACE ECKLUND EDWALL PH.D., PSY.D. (NPI 1902796196) is an individual clinical provider in Bloomington, Minnesota, licensed in Minnesota (2339) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1902796196
Entity TypeIndividual
Primary Taxonomy103TC0700X
Provider Legal NameGLENACE ECKLUND EDWALLCredential: PH.D., PSY.D.
Location Address1801 AMERICAN BLVD E STE 1Bloomington, MN 55425-1230
Mailing Address2217 Ferris LnRoseville, MN 55113-3877 · (651) 633-0673
Phone(612) 767-7222
Sole ProprietorYes
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1902796196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · 2339
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1801 AMERICAN BLVD E STE 1, Bloomington, MN 55425
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DREW BENSON PH.D., L.P.
Psychologist
1801 AMERICAN BLVD E STE 1
BLOOMINGTON, MN 55425
Hennepin County (952) 767-2267
DR. KANGTING HEINS PH.D.
Psychologist
1801 AMERICAN BLVD E STE 1
BLOOMINGTON, MN 55425
Hennepin County (952) 737-6236
PAJAR MICHELLE LEE
Behavior Technician
1801 AMERICAN BLVD E STE 1
BLOOMINGTON, MN 55425
Hennepin County (952) 767-2267
JENNIFER RUTH STARKS MA, LMFT
Marriage & Family Therapist
1801 AMERICAN BLVD E STE 1
BLOOMINGTON, MN 55425
Hennepin County (952) 767-2267
MARIKO ORTNER LICSW
Social Worker (Clinical)
1801 AMERICAN BLVD E STE 1
BLOOMINGTON, MN 55425
Hennepin County (952) 767-7222
SARAH DAWN CROWLEY
Behavior Technician
1801 AMERICAN BLVD E STE 1
BLOOMINGTON, MN 55425
Hennepin County (612) 767-7222
KARMEN NYBERG OTR/L
Occupational Therapist
1801 AMERICAN BLVD E STE 1
BLOOMINGTON, MN 55425
Hennepin County (952) 767-2267
MRS. LEAH MARIE PALOMBO OTR/L
Occupational Therapist (Pediatrics)
1801 AMERICAN BLVD E STE 1
BLOOMINGTON, MN 55425
Hennepin County (612) 767-2267

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenace Edwall's NPI number?

The NPI number for Glenace Edwall is 1902796196. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Glenace Edwall located?

Glenace Edwall practices at 1801 American Blvd E Ste 1, Bloomington, MN 55425. The listed phone number is (612) 767-7222.

What is Glenace Edwall's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Glenace Edwall was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.