IndividualActive
Deborah Clemmensen, M.EQ.
NPI 1992711154 · Clinical Child & Adolescent Psychologist · Minnetonka, MN
Provider details
- NPI number
- 1992711154
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- M.EQ.
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP2635 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
10520 Wayzata Blvd
Woodside Office Park
Minnetonka, MN 55305-1511
Phone: (952) 767-0190
Fax: (952) 544-3401
Approximate (ZIP-level) locationGet directions
Mailing address
3525 Irving Ave S
Minneapolis, MN 55408-3325
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.