Individual provider · Type 1 NPI

Bruce Eisenmenger, M.A., LP

Psychologist · Roseville, MN

NPI number 1457370256 Active

Practice location

1751 County Road B W Ste 100
Roseville, MN 55113-4037

Fax (651) 756-8914

Mailing address

7066 Stillwater Blvd N
Oakdale, MN 55128-3937

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X1882 (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 1457370256

Bruce Eisenmenger, M.A., LP's National Provider Identifier is 1457370256, issued on Jul 19, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Roseville, MN. The record was last updated on Oct 19, 2017.