Individual
DR. LAURA SULLIVAN EHLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
12940 HARRIET AVE S, SUITE 250, BURNSVILLE, MN 55337-2680
(612) 284-1557
(952) 432-3826
Mailing address
12940 HARRIET AVE S, SUITE 250, BURNSVILLE, MN 55337-2680
(612) 284-1557
(952) 432-3826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP 5415
MN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP 5415
MN
Other
Enumeration date
09/20/2006
Last updated
06/19/2013
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