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

Individual provider Counseling Psychologist · NPI 1417255753

Dr. Bradley S Bengtson is a Counseling Psychologist in Lino Lakes, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2011
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Practice location Address checks out

33 Village Pkwy Ste 109
Lino Lakes, MN 55014-4409
Phone: (612) 644-2502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence LP4712 (MN)

Record details

NPI number1417255753
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 10, 2011
Last updated in NPPESMarch 10, 2011