Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Neuro PLLC

Organization Clinical Neuropsychologist · NPI 1003542069

Neuro PLLC is a Clinical Neuropsychologist in Plymouth, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15600 36th Ave N Ste 140
Plymouth, MN 55446-3372
Phone: (763) 308-5772
Fax: (612) 392-7974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X

Record details

NPI number1003542069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Odland — Owner/Ceo · (320) 491-8233
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateJuly 31, 2022
Mailing address15600 36th Ave N Ste 140, Plymouth, MN 55446-3372

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