Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL R POTTEBAUM
ActiveRANDALL R POTTEBAUM is a Psychologist healthcare provider located in BURNSVILLE, Minnesota. NPI 1528042223 is currently active in the NPPES registry. Verify at CMS.
Psychologist · BURNSVILLE, MN
Registration Details
- NPI Number
- 1528042223
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2005 (20.505418753026 yrs)
- Last Updated
- Jul 8, 2007
- License
-
55 (MN)
Practice Information
- Address
-
14000 FAIRVIEW DRPARK NICOLLET CLINIC BURNSVILLEBURNSVILLE, MN, 553375713Browse MN providers · Browse ZIP 55337
- Phone
- 9529938608
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in BURNSVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. SUSAN PETERS | PSYD, LP | 1780666958 |
| DR. RICHARD S LAFANS | PH.D. | 1952386526 |
| MS. CAROLE M ANDERSEN | M.A., L.P. | 1316924939 |
| DR. MICHELLE A BROUILLETTE | PHD, LP | 1295712495 |
| 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.