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Individual

RICHARD G ALBERTA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PSYD, LP

Contact information

Practice address
1221 W LAKE ST, SUITE 201, MINNEAPOLIS, MN 55408-2762
(612) 824-1772
(612) 821-4799
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4813
(612) 262-4194

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1187
MN

Other

Enumeration date
04/27/2006
Last updated
07/08/2007
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