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NPI Code Detail

MEDICARE: ALLISON K SIROKY PHD

MEDICARE: ALLISON K SIROKY PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC2200XClinical Child & Adolescent PsychologistP.08066OH
2103TC2200XClinical Child & Adolescent PsychologistLP7159MN

General Provider Information

NPI Number : 1730662578
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON K SIROKY PHD
Provider Business Mailing Address
First Line : 7201 METRO BLVD STE 550
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55439-1353
Country : US
Telephone Number : 612-208-9287
Fax Number :
Provider Business Practice Location Address
First Line : 7201 METRO BLVD STE 550
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55439-1353
Country : US
Telephone Number : 612-208-9287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2018
Last Update Date : 05/20/2025

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Directions to “ ALLISON K SIROKY PHD” Practice Location

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