Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY S BENGTSON
Active Sole ProprietorDR. BRADLEY S BENGTSON is a Counseling Psychologist healthcare provider located in LINO LAKES, Minnesota. NPI 1417255753 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · LINO LAKES, MN
Registration Details
- NPI Number
- 1417255753
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2011 (15.447773514446 yrs)
- Last Updated
- Mar 10, 2011
- License
-
LP4712 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33 VILLAGE PKWYSUITE 109LINO LAKES, MN, 550144409Browse MN providers · Browse ZIP 55014
- Phone
- 6126442502
- Primary Specialty
-
Counseling Psychologist
103TC1900X
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.