Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL RUSSELL ELLISON, PSYD, LP
ActiveDR. PAUL RUSSELL ELLISON, PSYD, LP is a Clinical Psychologist healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1326374117 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1326374117
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2009 (16.77902737341 yrs)
- Last Updated
- Mar 18, 2019
- License
-
LP6366 (MN)
Practice Information
- Address
-
4027 COUNTY ROAD 25ST LOUIS PARK, MN, 55416Browse MN providers · Browse ZIP 55416
- Phone
- 6129256033
- Fax
- 6129258496
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in ST LOUIS PARK, MN
| Name | Credential | NPI |
|---|---|---|
| RENEE T VONWEISS | PHD LP | 1265427629 |
| DR. KRISTIN A KUNZMAN | PSY.D. | 1013992676 |
| MS. DIANE D KUZNIA | M.A., L.P. | 1265417828 |
| DAVID RANDAL | — | 1275519795 |
| DR. THOMAS T BENNETT | PSYD, LP | 1306823794 |
| LINDA WONDRASCH | — | 1396722211 |
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.