Search › Minnesota › 103T00000X
Matthew Ballenthin, PSYD. LP
NPI 1861745176 · on the registry since 2012
Practice
- Address
- 8550 Hudson Blvd N
Lake Elmo, MN 55042 - Phone
- (651) 254-8580
- Fax
- (651) 254-0601
- Organisation at this address
- Group Health, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-09
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