National Provider Identifier Database

MICHAEL J POTEGAL, PHD – NPI #1588748818
Clinical Neuropsychologist

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.


Contact Information

MICHAEL J POTEGAL, PHD
516 DELAWARE STREET SE
PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN55455
Phone: 612-625-7466
Fax:
Website:
Specialty Taxonomy Code
* Clinical Neuropsychologist 103G00000X

* Indicates primary specialty

NPI Profile & details for MICHAEL J POTEGAL

NPI Number 1588748818
Credentials PHD
Entity Individual
Enumeration date 10/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • MN License #: LP4310
  • MT Medicaid: 0492031
  • ND Medicaid: 10387
  • SD Medicaid: 7777470
  • MN Other: 1497309 ARAZ
  • MN Other: 163A1PO BLUE CROSS BLUE SHIELD
  • MN Other: HP40584 HEALTH PARTNERS
  • MN Other: 1029892 PREFERRED ONE
  • MN Other: 140910 UCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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