Individual
ALISON LEIGH MEZZENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2430 NICOLLET AVE, MINNEAPOLIS, MN 55404-3461
(612) 871-1454
(612) 871-1505
Mailing address
2430 NICOLLET AVE, MINNEAPOLIS, MN 55404-3461
(612) 871-1454
(612) 871-1505
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5047
MN
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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