| NPI | 1013352756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN KAYE HUTTON Clinical Psychologist 612-345-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4840) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2014-02-13 |