Provider Demographics
NPI:1073669313
Name:ALBERT AND ASSOCIATES
Entity Type:Organization
Organization Name:ALBERT AND ASSOCIATES
Other - Org Name:SAMUEL ALBERT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:651-631-1090
Mailing Address - Street 1:1700 HIGHWAY 36 W
Mailing Address - Street 2:SUITE 516
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-4034
Mailing Address - Country:US
Mailing Address - Phone:651-631-1090
Mailing Address - Fax:612-926-7178
Practice Address - Street 1:1700 HIGHWAY 36 W
Practice Address - Street 2:SUITE 516
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-4034
Practice Address - Country:US
Practice Address - Phone:651-631-1090
Practice Address - Fax:612-926-7178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP1718103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty