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

Individual provider Clinical Psychologist · NPI 1164662086

Alison Leigh Mezzenga is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 2004, 22 years ago. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2009
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Practice location Address checks out

2430 Nicollet Ave
Minneapolis, MN 55404-3461
Phone: (612) 871-1454
Fax: (612) 871-1505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5047 (MN)

Record details

NPI number1164662086
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2009
Last updated in NPPESMarch 5, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

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