Provider Demographics
NPI:1821184623
Name:ASPER, ALBERT LEO (EDD AND PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:LEO
Last Name:ASPER
Suffix:
Gender:M
Credentials:EDD AND PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 E. PARK AVE.
Mailing Address - Street 2:
Mailing Address - City:ALBERT LEA
Mailing Address - State:SD
Mailing Address - Zip Code:56007
Mailing Address - Country:US
Mailing Address - Phone:507-373-6260
Mailing Address - Fax:
Practice Address - Street 1:216 E. MAIN
Practice Address - Street 2:
Practice Address - City:ALBERT LEA
Practice Address - State:MN
Practice Address - Zip Code:56007
Practice Address - Country:US
Practice Address - Phone:507-373-6260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP1628103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical