Individual
CAROLINE ALYANAK GEORGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(920) 251-6152
Mailing address
4601 VALLACHER AVE, ST LOUIS PARK, MN 55416-4933
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6420
MN
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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