Organization
BEWELL PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS ELLIOT GUBRUD MD (MD OWNER)
(612) 421-3187
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 461-9, SAINT PAUL, MN 55104-2801
(612) 421-3178
(612) 421-3183
Mailing address
3501 XENIUM LN N APT 123, MINNEAPOLIS, MN 55441-2222
(612) 421-3187
(612) 421-3183
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
06/23/2021
Last updated
10/31/2025
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