Healthcare Provider Details

I. General information

NPI: 1225115504
Provider Name (Legal Business Name): ARLENE E OBRIEN FINN MALP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10440 SPYGLASS DR
EDEN PRAIRIE MN
55347
US

IV. Provider business mailing address

10440 SPYGLASS DR
EDEN PRAIRIE MN
55347-4656
US

V. Phone/Fax

Practice location:
  • Phone: 612-669-6688
  • Fax: 952-898-7813
Mailing address:
  • Phone: 612-669-6688
  • Fax: 952-898-7813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberLP3659
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: