Matthew E Ballenthin, PSYDLP
Matthew E Ballenthin, PSYDLP is a Clinical Psychologist in Lake Elmo, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.
- Licensed in
- MN
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
8550 Hudson Blvd NLake Elmo, MN 55042-5500
Phone: (651) 254-8580
Fax: (651) 254-0601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence LP5527 (MN) |
|---|---|
| Clinical Psychologist | Taxonomy 103TC0700X · Licence LP5527 (MN) |
Record details
| NPI number | 1861745176 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSYDLP |
| Sole proprietor | No |
| NPI enumerated | October 24, 2012 |
| Last updated in NPPES | March 9, 2021 |
| Certification date | March 9, 2021 |
| Mailing address | 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 |
Other providers in Lake Elmo
-
Jon Colombo
8669 Eagle Point Blvd, Lake Elmo, MN 55042-8628 · (651) 379-0444
-
John M Salter, PSYDLP
8550 Hudson Blvd Healthpartners Regions Behavioral Health-Woodbury, Lake Elmo, MN 55042-8706 · (651) 254-8580
-
Dr. Jennifer Jean Solin, PSYD, LP
8550 Hudson Blvd N, Lake Elmo, MN 55042 · (651) 254-8580
-
Dr. Margit Alice Swanson, PSYD
8647 Eagle Point Blvd, Lake Elmo, MN 55042-8655 · (651) 505-3273