Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robert J Ellison, LP

Individual provider Clinical Psychologist · NPI 1265526412

Robert J Ellison, LP is a Clinical Psychologist in Burnsville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006
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Practice location Address checks out

1601 Highway 13 E Ste 101
Burnsville, MN 55337-6865 Not confirmed with CMS for 19 years — call before visiting
Phone: (952) 895-9200
Fax: (952) 895-1946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP1486 (MN)

Record details

NPI number1265526412
Entity typeIndividual (Type 1)
GenderMale
Credentials LP
Sole proprietorYes
NPI enumeratedOctober 3, 2006
Last updated in NPPESJuly 8, 2007

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