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

MATTHEW E BALLENTHIN, PSYD. LP

Active

MATTHEW E BALLENTHIN, PSYD. LP is a Psychologist healthcare provider located in LAKE ELMO, Minnesota. NPI 1861745176 is currently active in the NPPES registry. Verify at CMS.

Psychologist · LAKE ELMO, MN

Registration Details

NPI Number
1861745176
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2012 (13.769349535454 yrs)
Last Updated
Mar 9, 2021
Licenses
LP5527 (MN)
LP5527 (MN)

Practice Information

Address
8550 HUDSON BLVD N
LAKE ELMO, MN, 550425500
Browse MN providers · Browse ZIP 55042
Phone
6512548580
Fax
6512540601
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist

Other Psychologist Providers in LAKE ELMO, MN

Name Credential NPI
STEVEN LUTZ PSY.D., LP 1881684777
JOSEPH HANSEN PSY.D., LP 1134119613
MARCUS BACHMANN PHD 1932199122
CHRISTINA OSSLUND GANDHI 1043284276
MELISSA B SEVERANCE MA LP 1598821217
DEL SAND 1447410121
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.