| NPI | 1043252547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA CUMMINGS Licensed Psychologist 763-546-1796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN LP2102) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |