Basic Information
Provider Information
NPI: 1346390523
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOPALOF
FirstName: BROOKE
MiddleName: ALLAN
NamePrefix: MRS.
NameSuffix:  
Credential: LMFT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5249 WASHBURN AVE S
Address2:  
City: MINNEAPOLIS
State: MN
PostalCode: 554102444
CountryCode: US
TelephoneNumber: 7637801520
FaxNumber: 7637802114
Practice Location
Address1: 3400 W 66TH ST STE 400
Address2:  
City: EDINA
State: MN
PostalCode: 554352134
CountryCode: US
TelephoneNumber: 6126726999
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/11/2007
LastUpdateDate: 08/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000X1167MNY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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