NPI | 1043316961 |
---|---|
Former Legal Business Name | LIPP, CARLSON, LOMMEN & WITUCKI, LTD |
Entity Type | Organization |
Authorized Contact | PRISCILLA MARTO Office Manager 701-746-8376 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2006-09-16 |
Last Update Date | 2022-07-21 |