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

MELISSA ANDERSON POLUSNY, PHD

Active

MELISSA ANDERSON POLUSNY, PHD is a Clinical Psychologist healthcare provider located in MINNETRISTA, Minnesota. NPI 1669487229 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · MINNETRISTA, MN

Registration Details

NPI Number
1669487229
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2006 (20.033116957053 yrs)
Last Updated
Jan 12, 2026
License
LP4362 (MN)

Practice Information

Address
3490 LYTHRUM WAY
MINNETRISTA, MN, 553649438
Browse MN providers · Browse ZIP 55364
Phone
9422142858
Primary Specialty
Clinical Psychologist
103TC0700X
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.