Ballenthin, Matthew E

Ballenthin, Matthew E is an individual health care provider with primary practice located at 8550 Hudson Blvd N , Lake Elmo MN 55042-5500. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Ballenthin, Matthew E can be contacted via phone (651) 254-8580.

Contact Information

Primary practice address
8550 Hudson Blvd N Lake Elmo MN 55042-5500
Phone: (651) 254-8580
Fax: (651) 254-0601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP5527 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP5527 Minnesota

Profile Details

NPI number 1861745176
LBN Legal business name Ballenthin, Matthew E
Credentials PSYD. LP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2012
Last updated Mar 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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