Novak, Alise Marie

Novak, Alise Marie is an individual health care provider with primary practice located at 6458 City West Pkwy , Eden Prairie MN 55344-3245. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Novak, Alise Marie can be contacted via phone (952) 767-6970.

Contact Information

Primary practice address
6458 City West Pkwy Eden Prairie MN 55344-3245
Phone: (952) 767-6970
Fax: (612) 728-5301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP6050 Minnesota

Profile Details

NPI number 1427500248
LBN Legal business name Novak, Alise Marie
Credentials PSY.D., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2016
Last updated Nov 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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