Individual
DR. SHANNON EHLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5171
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6820
MN
103TC0700X
Clinical Psychologist
LP6820
MN
Other
Enumeration date
10/18/2022
Last updated
05/16/2025
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