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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699792606 | NPPES |
Minnesota | MEDICAID | 703752000 |
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