Healthcare Provider Details

I. General information

NPI: 1720177025
Provider Name (Legal Business Name): THOMAS C. HAMBURGEN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 MEMBERS PKWY NW
ROCHESTER MN
55901-8381
US

IV. Provider business mailing address

5255 MEMBERS PKWY NW
ROCHESTER MN
55901-8381
US

V. Phone/Fax

Practice location:
  • Phone: 507-218-3701
  • Fax: 507-258-5503
Mailing address:
  • Phone: 507-218-3701
  • Fax: 507-258-5503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP4156
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: