Organization
GREAT LAKES NEUROBEHAVIORAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA FISCHER PHD (NEUROPSYCHOLOGIST)
(612) 382-7165
Entity
Organization
Contact information
Practice address
7373 FRANCE AVE S, SUITE 305, EDINA, MN 55435-4534
(612) 382-7165
Mailing address
10195 INVER GROVE TRL, INVER GROVE HEIGHTS, MN 55076-3830
(612) 382-7165
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6005
MN
Other
Enumeration date
01/27/2017
Last updated
03/03/2017
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