Organization Name: | PARTNERS IN HEALING OF MINNEAPOLIS |
NPI Number: | 1083858989 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID S ALTER (OWNER/PSYCHOLOGIST) |
Mailing Address: | 10505 Wayzata Blvd Suite #200 Minnetonka |
State: | MN US |
Postal Code: | 553051502 |
Phone Number: | 7635465797 |
Fax Number: | 7635465754 |
NPI Enumeration Date: | 04/23/2009 |
NPI Last Update Date: | 01/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | LP1585 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |