IndividualActive
Alec Vicenzi
NPI 1770137556 · Psychologist · Minnetonka, MN
Provider details
- NPI number
- 1770137556
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
12301 Whitewater Dr Ste 101
Minnetonka, MN 55343-4157
Phone: (952) 999-6097
Approximate (ZIP-level) locationGet directions
Mailing address
1933 Randolph Ave
Saint Paul, MN 55105-1746
Registry dates
- Enumerated
- 2019-07-30
- Last updated
- 2021-09-29
- Certified
- 2021-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.