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General NPI Number Information
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NPI Number | 1407770597
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Entity Type | Organization
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Legal Business Name | CLEAR STEP NEUROPSYCHOLOGY
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 1903 WAYZATA BLVD STE 140
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City | WAYZATA
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State | MN
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Zip | 55391-2047
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Country | US
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Telephone | 612-209-0321
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Fax |
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Provider Business Mailing Address
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Address Line | 4722 FAIRHILLS RD W
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City | MINNETONKA
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State | MN
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Zip | 55345-3509
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC NEUROPSYCHOLOGIST
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Name | DR. CHRISTINE MATHIOWETZ
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Credential | PSYD, LP
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Telephone | 612-209-0321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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