IndividualActive
Bryan Ebert
NPI 1184445793 · Counseling Psychologist · St Anthony, MN
Provider details
- NPI number
- 1184445793
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2855 Anthony Ln S
St Anthony, MN 55418-3265
Phone: (952) 201-0128
Approximate (ZIP-level) locationGet directions
Mailing address
2855 Anthony Ln S
St Anthony, MN 55418-3265
Additional practice locations (1)
- 2546 Johnson St NeMinneapolis, MN 55418-3941Phone: (612) 444-1655
Registry dates
- Enumerated
- 2024-10-17
- Last updated
- 2024-10-17
- Certified
- 2024-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.