Dr. Alyssa Braaten Eidson
Clinical Psychologist
1 Veterans Dr 116b
Minneapolis
, Minnesota 55417-2309
Dr. Alyssa Braaten Eidson
Clinical Psychologist
1 Veterans Dr 116b
Minneapolis
, Minnesota 55417-2309
(612) 423-1888
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Alyssa Braaten Eidson
- 3520 E Medicine Lake Blvd
- Plymouth, MN
- Zip : 55441-2310
- Phone : (612) 423-1888
Second Address
- Dr. Alyssa Braaten Eidson
- 1 Veterans Dr 116b
- Minneapolis, MN
- Zip : 55417-2309
- Phone : (612) 629-7365
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY003192 | GA |
| Y | 103TC0700X | Clinical Psychologist | PSY003192 | GA |
National Provider Identifier
| NPI | 1013153071 |
|---|---|
| Provider Name | Dr. Alyssa Braaten Eidson |
| First Address | Plymouth, MN 55441-2310 |
| Second Address | Minneapolis, MN 55417-2309 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/12/2008 |
| Last Update Date | 27/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.