Provider Demographics
NPI:1902271521
Name:ALDRICH, ALICIA MARIE (PSYD)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:MARIE
Last Name:ALDRICH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:MARIE
Other - Last Name:SWALLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:2501 W. 26TH STREET
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105
Mailing Address - Country:US
Mailing Address - Phone:605-444-9761
Mailing Address - Fax:605-444-9706
Practice Address - Street 1:327 MARSCHALL RD
Practice Address - Street 2:SUITE 250
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-1687
Practice Address - Country:US
Practice Address - Phone:651-769-6500
Practice Address - Fax:651-769-6549
Is Sole Proprietor?:No
Enumeration Date:2015-12-08
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD586103T00000X
MN5946103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist