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

MS. DEBORAH JEAN CLEMMENSEN, M.EQ.

Active Sole Proprietor

MS. DEBORAH JEAN CLEMMENSEN, M.EQ. is a Child, Clinical Psychologist healthcare provider located in MINNETONKA, Minnesota. NPI 1992711154 is currently active in the NPPES registry. Verify at CMS.

Child, Clinical Psychologist · MINNETONKA, MN

Registration Details

NPI Number
1992711154
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2006 (20.033723612256 yrs)
Last Updated
Jul 8, 2007
License
LP2635 (MN)
Sole Proprietor
Yes

Practice Information

Address
10520 WAYZATA BLVD
WOODSIDE OFFICE PARK
MINNETONKA, MN, 553051511
Browse MN providers · Browse ZIP 55305
Phone
9527670190
Fax
9525443401
Primary Specialty
Child, Clinical Psychologist
103TC2200X

Other Child, Clinical Psychologist Providers in MINNETONKA, MN

Name Credential NPI
DR. NICOLE LYNN SMITH PSY.D., L.P. 1215206552
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.