Individual
DANIELLE MARY BECKER ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3200 HIGHWAY 100 S, ST LOUIS PARK, MN 55416-2175
(952) 920-6377
Mailing address
5146 GIRARD AVE N, MINNEAPOLIS, MN 55430-3423
(612) 508-9364
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP7144
MN
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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