Healthcare Provider Details

I. General information

NPI: 1477467090
Provider Name (Legal Business Name): ALEXANDRA POHLAD MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLIE PHILLIPS MA

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 PARKLAWN AVE STE 380
EDINA MN
55435-5156
US

IV. Provider business mailing address

250 NICOLLET MALL STE 600
MINNEAPOLIS MN
55401-7547
US

V. Phone/Fax

Practice location:
  • Phone: 612-203-2961
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: