Michaela Marie Bucchianeri, PH.D, LP

Clinical Psychologist · Minnetonka, MN

Individual Active NPI

NPI number 1255840187

Practice location

12301 Whitewater Dr Ste 101
Minnetonka, MN 55343-4157
Phone
(952) 999-6097
Fax
(952) 426-0508

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NPI record

NPI
1255840187
Entity type
Individual (Type 1)
Enumeration date
September 22, 2017
Last updated
November 20, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X LP6153 MN
Clinical Child & Adolescent Psychologist 103TC2200X LP6153 MN

Other practice locations (1)

  • 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 · (952) 999-6097

About Dr. Bucchianeri

Michaela Marie Bucchianeri, PH.D, LP is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157. The NPI number 1255840187 was assigned on September 22, 2017 and the record was last updated on November 20, 2017.

Dr. Bucchianeri lists 2 licenses in the registry: #LP6153 (MN) for Clinical Psychologist; #LP6153 (MN) for Clinical Child & Adolescent Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michaela Marie Bucchianeri, PH.D, LP?

The NPI number is 1255840187.

What is the phone number of Dr. Bucchianeri?

The phone number listed for the practice location is (952) 999-6097.

Where is Dr. Bucchianeri located?

12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157.

What is the taxonomy code for Dr. Bucchianeri?

The primary taxonomy code is 103TC0700X – Clinical Psychologist; 1 more listed above.

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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