Individual provider · Type 1 NPI

Crystal Ebert, PhD

Psychologist · St. Louis Park, MN

NPI number 1134550502 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Fax (952) 993-2505

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 210 9th St SE, Rochester, MN 55904-6756 · (507) 287-2766

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X0810004913 (VA)
Psychologist Primary 103T00000XLP6293 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1134550502

Crystal Ebert, PhD's National Provider Identifier is 1134550502, issued on Dec 10, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Dec 21, 2023.