Search › Minnesota › 103TC0700X
Paul Ellison, PSYD, LP
NPI 1326374117 · on the registry since 2009
Practice
- Address
- 4027 County Road 25
St Louis Park, MN 55416 - Phone
- (612) 925-6033
- Fax
- (612) 925-8496
- Organisation at this address
- Genoa Healthcare Llc
Associated Clinic Of Psychology IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Additional practice sites
- 1155 Ford Rd Ste B, St Louis Park, MN
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota