OrganizationActive
Allina Health System
NPI 1083197214 · Addiction (Substance Use Disorder) Psychologist · Fridley, MN
Provider details
- NPI number
- 1083197214
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Dominica Tallarico, Coo
Practice location
520 Osborne Rd Ne, Ste 120
Fridley, MN 55432-2718
Phone: (763) 236-4300
Mailing address
Po Box 43
Minneapolis, MN 55440-0043
Registry dates
- Enumerated
- 2018-09-13
- Last updated
- 2025-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.