Individual
MARDELLE BRANDT PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L.P.
Contact information
Practice address
2172 MIDLAND VIEW CT N, ROSEVILLE, MN 55113-5304
(612) 267-3446
Mailing address
2172 MIDLAND VIEW CT N, ROSEVILLE, MN 55113-5304
(612) 267-3446
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP2890
MN
103TC1900X
Counseling Psychologist
Primary
LP2890
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13434PE
BCBS
MN
01
—
1G086PE
BCBS INDIVIDUAL
MN
Enumeration date
01/18/2007
Last updated
09/11/2025
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