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

Robert J Ellison, LP

Individual provider Clinical Psychologist · NPI 1265526412

Robert J Ellison, LP is a Clinical Psychologist in Burnsville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

1601 Highway 13 E Ste 101
Burnsville, MN 55337-6865
Phone: (952) 895-9200
Fax: (952) 895-1946
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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 LP1486 (MN)

Record details

NPI number1265526412
Entity typeIndividual (Type 1)
GenderMale
Credentials LP
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1601 Highway 13 E, Ste. 101, Burnsville, MN 55337-6865

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