| Proof Alliance | |
|
1876 Minnehaha Ave W Saint Paul MN 55104-1029 | |
| (651) 917-2370 | |
| (651) 313-7888 |
| Full Name | Proof Alliance |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1876 Minnehaha Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Mollie O'brien (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6519172370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proof Alliance 1876 Minnehaha Ave W Saint Paul MN 55104-1029 Ph: (651) 917-2370 | Proof Alliance 1876 Minnehaha Ave W Saint Paul MN 55104-1029 Ph: (651) 917-2370 |
| NPI Number | 1699038265 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699038265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP5419 (Minnesota) | Primary |
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