| Samuel Albert | |
|
1700 Highway 36 W Suite 516 Roseville MN 55113-4034 | |
| (651) 631-1090 | |
| (612) 926-7178 |
| Full Name | Samuel Albert |
|---|---|
| Speciality | Psychologist |
| Location | 1700 Highway 36 W, Roseville, Minnesota |
| Authorized Official Name and Position | Samuel Albert (OWNER) |
| Authorized Official Contact | 6516311090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Albert 1700 Highway 36 W Suite 516 Roseville MN 55113-4034 Ph: (651) 631-1090 | Samuel Albert 1700 Highway 36 W Suite 516 Roseville MN 55113-4034 Ph: (651) 631-1090 |
| NPI Number | 1073669313 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073669313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP1718 (Minnesota) | Primary |
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