| NPI | 1043545189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH M. MYERS Psychiatrist 952-898-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 49576) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-03-1206) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |