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Search › Minnesota › Psychologist

Randall Pottebaum

NPI 1528042223 · on the registry since 2005

Practice

Address
14000 Fairview Dr
Park Nicollet Clinic Burnsville
Burnsville, MN 55337
Phone
(952) 993-8608
Organisation at this address
Park Nicollet Methodist Hospital
Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Registry record

Primary taxonomy
Psychologist
103T00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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