Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. COLLIN ROSS MODAHL, LP
Active Sole ProprietorDR. COLLIN ROSS MODAHL, LP is a Clinical Psychologist healthcare provider located in ALEXANDRIA, Minnesota. NPI 1184260812 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ALEXANDRIA, MN
Registration Details
- NPI Number
- 1184260812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2019 (6.7111256638442 yrs)
- Last Updated
- Nov 18, 2019
- License
-
LP6478 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
324 BROADWAY ST STE 206ALEXANDRIA, MN, 563081482Browse MN providers · Browse ZIP 56308
- Phone
- 3207621762
- Fax
- 3207621762
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in ALEXANDRIA, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JOYCE ELAINE JOHNSON | PHD | 1376566216 |
| DR. MELISSA MARIE WINTER | PSY.D. | 1609036631 |
| CAROLYN DAWN GIANNONE | PH.D., LP | 1699085803 |
| RACHEL HINANT | — | 1811481476 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.