Matthew E Ballenthin, PSYD. LP

NPI #1861745176 in Lake Elmo, Minnesota

Provider Information

NPI Number
1861745176
Entity Type
Individual
Name
Matthew E Ballenthin, PSYD. LP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
PSYD. LP
Enumeration Date
Oct 24, 2012
Last Updated
Mar 9, 2021

Practice Location

Address
8550 HUDSON BLVD N
ZIP Code
55042-5500
Phone
(651) 254-8580

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical
Psychologist

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