Individual
ALICIA KUNIN-BATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-6777
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-6777
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4594
MN
103TC0700X
Clinical Psychologist
4594
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493408
—
MT
05
—
0716860
—
IA
01
—
1046052
PREFERRED ONE
MN
01
—
136699
U CARE
—
05
—
177907900
—
MN
01
—
2393328
ARAZ
—
01
—
632T2KU
BCBS
MN
01
—
86913-1
FAIRVIEW CAREGIVER
MN
01
—
B673
CHAMPUS
MN
01
—
HP56958
HEALTH PARTNERS
MN
Enumeration date
10/16/2006
Last updated
03/12/2018
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