Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Be Somebody Inc

Organization Psychologist · NPI 1073679791

Be Somebody Inc is a Psychologist in Lake Elmo, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11550 Stillwater Blvd N Ste 102
Lake Elmo, MN 55042-8613
Phone: (651) 777-3336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP3637 (MN)

Record details

NPI number1073679791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Severance — Owner · (651) 777-3336
NPI enumeratedDecember 28, 2006
Last updated in NPPESSeptember 25, 2007
Mailing address11550 Stillwater Blvd N Ste 102, Lake Elmo, MN 55042-8613

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