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

DR. MICHELLE A BROUILLETTE, PHD, LP

Active

DR. MICHELLE A BROUILLETTE, PHD, LP is a Psychologist healthcare provider located in BURNSVILLE, Minnesota. NPI 1295712495 is currently active in the NPPES registry. Verify at CMS.

Psychologist · BURNSVILLE, MN

Registration Details

NPI Number
1295712495
Provider Type
Individual
Gender
Female
NPI Issued
Dec 28, 2005 (20.445152126207 yrs)
Last Updated
Jul 13, 2020
License
LP2929 (MN)

Practice Information

Address
11990 PORTLAND AVE
BURNSVILLE, MN, 553371516
Browse MN providers · Browse ZIP 55337
Phone
6124627053
Fax
9524797896
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in BURNSVILLE, MN

Name Credential NPI
DR. SUSAN PETERS PSYD, LP 1780666958
RANDALL R POTTEBAUM 1528042223
DR. RICHARD S LAFANS PH.D. 1952386526
MS. CAROLE M ANDERSEN M.A., L.P. 1316924939
ROBYN SWENSON PHD., LP 1326025313
CARLA OLSON 1902883945
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.