Individual
DAVID S ALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD LP
Contact information
Practice address
10505 WAYZATA BLVD, SUITE 200, MINNETONKA, MN 55305-1506
(763) 546-5797
(763) 546-5754
Mailing address
10501 WAYZATA BLVD, SUITE 200, MINNETONKA, MN 55305-5508
(763) 546-5797
(763) 546-5754
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP1585
MN
103T00000X
Psychologist
LP1585
MN
103TC0700X
Clinical Psychologist
LP1585
MN
Other
Enumeration date
02/16/2007
Last updated
12/22/2014
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