Risse, Gail L

Risse, Gail L is an individual health care provider with primary practice located at 2720 Fairview Ave N Ste 100 , Roseville MN 55113-1306. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Risse, Gail L can be contacted via phone (651) 241-5290.

Contact Information

Primary practice address
2720 Fairview Ave N Ste 100 Roseville MN 55113-1306
Phone: (651) 241-5290
Fax: (651) 241-5140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP1122 Minnesota

Profile Details

NPI number 1699792606
LBN Legal business name Risse, Gail L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Feb 10th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699792606 NPPES
Minnesota MEDICAID 703752000

Popular Providers