Individual
DR. ADAM PICCOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
11800 SINGLETREE LN STE 203, EDEN PRAIRIE, MN 55344-5397
(651) 503-9404
Mailing address
574 PRAIRIE CENTER DR STE 135-162, EDEN PRAIRIE, MN 55344-7930
(651) 503-9404
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
LP4248
MN
103T00000X
Psychologist
Primary
LP4248
MN
Other
Enumeration date
02/19/2017
Last updated
03/15/2018
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