Individual provider · Type 1 NPI
Paul Russell Ellison, PSYD, LP
Clinical Psychologist · St. Louis Park, MN
Practice location
4027 County Road 25
St. Louis Park, MN 55416
Fax (612) 925-8496
Mailing address
4240 Park Glen Rd
St. Louis Park, MN 55416-5427
Other practice locations
- 1155 Ford Rd Ste B, St. Louis Park, MN 55426-1115 · (952) 378-1800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | LP6366 (MN) |
Clinical Psychologist: 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 discip…
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About NPI 1326374117
Paul Russell Ellison, PSYD, LP's National Provider Identifier is 1326374117, issued on Oct 28, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 18, 2019.