IndividualActive
Brad Houghton, PSYD, LP
NPI 1053528125 · Clinical Child & Adolescent Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1053528125
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, LP
- Sex
- Male
- Sole proprietor
- No
- License
- 4812 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5019 38th Ave S
Minneapolis, MN 55417-1662
Phone: (612) 308-7038
Approximate (ZIP-level) locationGet directions
Mailing address
5019 38th Ave S
Minneapolis, MN 55417-1662
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.