Organization
LEVINE-ADLER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE LEVINE ADLER PH.D. (PRESIDENT)
(952) 707-1820
Entity
Organization
Contact information
Practice address
200 E TRAVELERS TRL, SUITE 225, BURNSVILLE, MN 55337-4097
(952) 707-1820
Mailing address
200 E TRAVELERS TRL, SUITE 225, BURNSVILLE, MN 55337-4097
(952) 707-1820
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2202
MN
103TC0700X
Clinical Psychologist
LP2202
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP2202
MN
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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