Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KERRY RYAN BROCKBERG, PH.D., LP
ActiveDR. KERRY RYAN BROCKBERG, PH.D., LP is a Psychologist healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1588179410 is currently active in the NPPES registry. Verify at CMS.
Psychologist · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1588179410
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2017 (8.6418376766114 yrs)
- Last Updated
- May 18, 2021
- License
-
LP6410 (MN)
Practice Information
- Address
-
11850 BLACKFOOT ST NW STE 405MINNEAPOLIS, MN, 554332773Browse MN providers · Browse ZIP 55433
- Phone
- 7632360888
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID ALLAN DUBOIS | MASTERS OF ARTS | 1720084502 |
| DR. JOHN DAVID MCCLAY | ED.D. | 1235138447 |
| DR. RAYE MCPHILLIPS EYRICH | PH.D. | 1215938659 |
| MR. ELLIOTT V. TROUP JR. | M.ED. L.P. | 1104813716 |
| MR. JOHN P HEDBERG | LP, LMFT | 1265415707 |
| TERESA PLUMMER | — | 1770567455 |
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.