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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE K. PEMBLE-FRAZEY, PHD

Active

Cognitive & Behavioral Psychologist · MAPLE GROVE, MN

Registration Details

NPI Number
1013116342
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2007 (18.802977186609 yrs)
Last Updated
Sep 13, 2023
Licenses
LP4824 (MN)
LP4824 (MN)

Practice Information

Address
9555 UPLAND LN N
MAPLE GROVE, MN, 55369
Browse MN providers · Browse ZIP 55369
Phone
9529931440
Primary Specialty
Cognitive & Behavioral Psychologist
103TB0200X
Additional Specialty
Psychologist

Other Cognitive & Behavioral Psychologist Providers in MAPLE GROVE, MN

Name Credential NPI
DR. JULIE ANN GOMER DBH 1063781771
DR. KELLY JOAN CARLSON GIBAS DBH 1588189955
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.