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

Great Lakes Neurobehavioral Center, PC

Organization Psychologist · NPI 1649717778

Great Lakes Neurobehavioral Center, PC is a Psychologist in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7373 France Ave S Ste 305
Edina, MN 55435-4534
Phone: (612) 382-7165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6005 (MN)

Record details

NPI number1649717778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Fischer — Neuropsychologist · (612) 382-7165
NPI enumeratedJanuary 27, 2017
Last updated in NPPESMarch 3, 2017
Mailing address10195 Inver Grove Trl, Inver Grove Heights, MN 55076-3830

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