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Organization
MINNESOTA PSYCHOLOGICAL RESOURCES
Active
Organization
MINNESOTA PSYCHOLOGICAL RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MELLBERG PH.D., L.P. (DIRECTOR)
(763) 550-9005
Entity
Organization
Contact information
Practice address
12805 HIGHWAY 55, SUITE 211, PLYMOUTH, MN 55441-3859
(763) 550-9005
(763) 559-2118
Mailing address
12805 HIGHWAY 55, SUITE 211, PLYMOUTH, MN 55441-3859
(763) 550-9005
(763) 559-2118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
801884-1-MHC
MN
101YP2500X
Professional Counselor
801884-1-MHC
MN
103TC0700X
Clinical Psychologist
801884-1-MHC
MN
103TC1900X
Counseling Psychologist
801884-1-MHC
MN
1041C0700X
Clinical Social Worker
Primary
801884-1-MHC
MN
106H00000X
Marriage & Family Therapist
801884-1-MHC
MN
Other
Enumeration date
11/21/2006
Last updated
09/11/2025
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