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

Dr. Michelle A Brouillette, PHD, LP

Individual provider Psychologist · NPI 1295712495

Dr. Michelle A Brouillette, PHD, LP is a Clinical Psychologist in Burnsville, Minnesota. Qualified in 2006, 20 years ago. Licensed in Minnesota.

Years since qualifying
20
Licensed in
MN
In the registry since
2005
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

11990 Portland Ave
Burnsville, MN 55337-1516
Phone: (612) 462-7053
Fax: (952) 479-7896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP2929 (MN)

Record details

NPI number1295712495
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated

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