Individual
DR. ALISE MARIE NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 767-6970
(612) 728-5301
Mailing address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(612) 382-9781
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6050
MN
Other
Enumeration date
10/27/2016
Last updated
11/21/2016
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