Healthcare Provider Details

I. General information

NPI: 1275213019
Provider Name (Legal Business Name): ALISON VOGELSANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 OHMS LN STE 450
EDINA MN
55439-2339
US

IV. Provider business mailing address

701 PARK AVE
MINNEAPOLIS MN
55415-1623
US

V. Phone/Fax

Practice location:
  • Phone: 952-831-2000
  • Fax: 952-835-6134
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP6964
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: