Michelle K. Pemble
Psychologist Cognitive & Behavioral Psychologist
9555 Upland Ln N
Maple Grove
, Minnesota 55369
Michelle K. Pemble
Psychologist Cognitive & Behavioral Psychologist
9555 Upland Ln N
Maple Grove
, Minnesota 55369
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Michelle K. Pemble
- 8170 33rd Ave S # Ms 21110q
- Bloomington, MN
- Zip : 55425-4516
- Phone :
Second Address
- Michelle K. Pemble
- 9555 Upland Ln N
- Maple Grove, MN
- Zip : 55369
- Phone : (952) 993-1440
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What type of doctor is Michelle K. Pemble
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Is Michelle K. Pemble a sole practitioner?
Is Michelle K. Pemble accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | LP4824 | MN |
| N | 103T00000X | Psychologist | LP4824 | MN |
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | LP4824 | MN |
National Provider Identifier
| NPI | 1013116342 |
|---|---|
| Provider Name | Michelle K. Pemble |
| First Address | Bloomington, MN 55425-4516 |
| Second Address | Maple Grove, MN 55369 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2007 |
| Last Update Date | 10/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.