Healthcare Provider Details

I. General information

NPI: 1780597138
Provider Name (Legal Business Name): ELANA ABELSON PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 OHMS LN STE 195
EDINA MN
55439-2327
US

IV. Provider business mailing address

4101 BASSWOOD RD
MINNEAPOLIS MN
55416-3846
US

V. Phone/Fax

Practice location:
  • Phone: 612-787-2344
  • Fax:
Mailing address:
  • Phone: 612-306-2960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP7408
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: