Healthcare Provider Details

I. General information

NPI: 1033031745
Provider Name (Legal Business Name): COLE ROBERT TOOVEY PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 CENTRACARE CIR STE 2475
SAINT CLOUD MN
56303-5000
US

IV. Provider business mailing address

1900 CENTRACARE CIR STE 2475 STE 2475
SAINT CLOUD MN
56303-5000
US

V. Phone/Fax

Practice location:
  • Phone: 320-251-2700
  • Fax: 320-229-5109
Mailing address:
  • Phone: 320-251-2700
  • Fax: 320-229-5109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberLP7369
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: