Individual provider · Type 1 NPI

Matthew E. Ballenthin, PSYD. LP

Psychologist · Lake Elmo, MN

NPI number 1861745176 Active

Practice location

8550 Hudson Blvd N
Lake Elmo, MN 55042-5500

Call (651) 254-8580 Map

Fax (651) 254-0601

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XLP5527 (MN)
Psychologist Primary 103T00000XLP5527 (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 1861745176

Matthew E. Ballenthin, PSYD. LP's National Provider Identifier is 1861745176, issued on Oct 24, 2012. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Lake Elmo, MN. The record was last updated on Mar 9, 2021.