Individual
DR. NICHOLAS CHARLES NEIBERGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(515) 473-2887
Mailing address
5016 STEVENS AVE, MINNEAPOLIS, MN 55419-2618
(515) 473-2887
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP6970
MN
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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