Healthcare Provider Details

I. General information

NPI: 1407770597
Provider Name (Legal Business Name): CLEARSTEP NEUROPSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1903 WAYZATA BLVD STE 140
WAYZATA MN
55391-2047
US

IV. Provider business mailing address

4722 FAIRHILLS RD W
MINNETONKA MN
55345-3509
US

V. Phone/Fax

Practice location:
  • Phone: 612-209-0321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINE MATHIOWETZ
Title or Position: PEDIATRIC NEUROPSYCHOLOGIST
Credential: PSYD, LP
Phone: 612-209-0321