Melissa B Severance, MA LP - Psychologist in Lake Elmo, MN

Melissa B Severance, MA LP is a Psychologist based in Lake Elmo, Minnesota. Melissa B Severance is licensed to practice in Minnesota (license number LP3637) and her current practice location is 11550 Stillwater Blvd N Ste 102, Lake Elmo, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 777-3336.

NPI number for Melissa B Severance is 1598821217 and her current mailing address is 11550 Stillwater Blvd N Ste 102, Lake Elmo, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598821217.

Contact Information

Melissa B Severance, MA LP
11550 Stillwater Blvd N Ste 102,
Lake Elmo, MN 55042-8613
(651) 777-3336
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMelissa B Severance
GenderFemale
SpecialityPsychologist
Location11550 Stillwater Blvd N Ste 102, Lake Elmo, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598821217
  • Provider Enumeration Date: 12/28/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Melissa B Severance such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598821217NPI-NPPES
41D05SEOtherMNBCBS INDIVIDUAL PROVIDER
41D04SEOtherMNBCBS GROUP NUMBER
6292882OtherMNMEDICA ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LP3637 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa B Severance is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Melissa B Severance, MA LP
11550 Stillwater Blvd N Ste 102,
Lake Elmo, MN 55042-8613

Ph: (651) 777-3336
Melissa B Severance, MA LP
11550 Stillwater Blvd N Ste 102,
Lake Elmo, MN 55042-8613

Ph: (651) 777-3336

Reviews and Comments


Psychologist in Lake Elmo, MN

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