Provider Demographics
NPI:1720691884
Name:ALABI, OLUWATOSIN (PHD, LP, MHA)
Entity Type:Individual
Prefix:DR
First Name:OLUWATOSIN
Middle Name:
Last Name:ALABI
Suffix:
Gender:F
Credentials:PHD, LP, MHA
Other - Prefix:DR
Other - First Name:TOSIN
Other - Middle Name:
Other - Last Name:ALABI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LP, MHA
Mailing Address - Street 1:200 UNIVERSITY AVE E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-2507
Mailing Address - Country:US
Mailing Address - Phone:651-291-2848
Mailing Address - Fax:
Practice Address - Street 1:200 UNIVERSITY AVE E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2507
Practice Address - Country:US
Practice Address - Phone:651-291-2848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP6556103TC0700X
103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical