IndividualActive
Ian Halberg, PH.D., LP
NPI 1346874583 · Clinical Child & Adolescent Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1346874583
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., LP
- Sex
- Male
- Sole proprietor
- No
- License
- LP6514 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 813-6647
Approximate (ZIP-level) locationGet directions
Mailing address
2525 Chicago Ave
Minneapolis, MN 55404-4518
Registry dates
- Enumerated
- 2020-02-26
- Last updated
- 2020-02-27
- Certified
- 2020-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.