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

Dr. Maryanne Sarah Edmundson, PHD, LP

Individual provider Clinical Neuropsychologist · NPI 1609393628

Dr. Maryanne Sarah Edmundson, PHD, LP is a Clinical Psychologist in Golden Valley, Minnesota. Qualified in 2015, 11 years ago. Practices with Minneapolis Clinic of Neurology Ltd, a 75-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2017
Specialties on file
2
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

4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Phone: (763) 588-0661
Fax: (763) 287-2303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP6135 (MN)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence LP6135 (MN)

Record details

NPI number1609393628
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorNo
NPI enumeratedAugust 30, 2017
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Minneapolis Clinic Of Neurology Ltd — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Golden Valley