Individual
ALISSA BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
200 4TH ST SW, FOREST LAKE, MN 55025-1536
(651) 982-3124
Mailing address
200 4TH ST SW, FOREST LAKE, MN 55025-1536
(651) 982-3124
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
496045
MN
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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