Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Eric John Waldron, PHD, LP, ABPP

Individual provider Clinical Neuropsychologist · NPI 1215298179

Dr. Eric John Waldron, PHD, LP, ABPP is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2010, 16 years ago. Practices with University of Minnesota Physicians, a 156-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
16
Licensed in
IA
In the registry since
2012
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone: (612) 626-6688
Fax: (612) 624-4458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 001258 (IA)

Record details

NPI number1215298179
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LP , ABPP
Sole proprietorNo
NPI enumeratedJune 6, 2012
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice University Of Minnesota Physicians — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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