Individual
ALAA SAKALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3833 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2643
(763) 427-8320
Mailing address
3833 COON RAPIDS BLVD NW STE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 302-4338
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
LP7069
MN
103TC0700X
Clinical Psychologist
Primary
LP7069
MN
Other
Enumeration date
07/03/2024
Last updated
09/05/2024
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