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

DAVID BURDETTE MELLBERG, PH.D., L.P.

Active Sole Proprietor

DAVID BURDETTE MELLBERG, PH.D., L.P. is a Clinical Psychologist healthcare provider located in PLYMOUTH, Minnesota. NPI 1659446276 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · PLYMOUTH, MN

Registration Details

NPI Number
1659446276
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2006 (19.704180297389 yrs)
Last Updated
Jul 8, 2007
License
LP1979 (MN)
Sole Proprietor
Yes

Practice Information

Address
12805 HIGHWAY 55
SUITE 211
PLYMOUTH, MN, 554413859
Browse MN providers · Browse ZIP 55441
Phone
7635509005
Fax
7635592118
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in PLYMOUTH, MN

Name Credential NPI
SANDRA KUPERMAN SONDELL PH.D. 1417968207
DR. ASHA K. MUKHERJEE PHD, LP 1215034863
TIM RICHARD PORTINGA PSYD LP 1609924216
KRISTEN ALEXA BURNETT PSY.D., LP 1699823237
RACHAEL HOFFMAN PSY.D. 1285967638
DR. JESSICA L. PISHNEY PSYD, LP 1386974194
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.