Ellen Chazdon, PSY D LP

Psychologist · Edina, MN

Individual Active NPI

NPI number 1205868635

Practice location

5100 Eden Ave
Suite 117
Edina, MN 55436-2337
Phone
(952) 920-9304
Fax
(952) 920-9304

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NPI record

NPI
1205868635
Entity type
Individual (Type 1)
Enumeration date
July 7, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 3170 MN

About Ellen Chazdon

Ellen Chazdon, PSY D LP is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 5100 Eden Ave, Suite 117, Edina, MN 55436-2337. The NPI number 1205868635 was assigned on July 7, 2006 and the record was last updated on July 8, 2007.

Ellen Chazdon lists a license in the registry: #3170 (MN) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen Chazdon, PSY D LP?

The NPI number is 1205868635.

What is the phone number of Ellen Chazdon?

The phone number listed for the practice location is (952) 920-9304.

Where is Ellen Chazdon located?

5100 Eden Ave, Suite 117, Edina, MN 55436-2337.

What is the taxonomy code for Ellen Chazdon?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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