| NPI | 1053614131 |
|---|---|
| Doing Business As | CLINIC FOR ATTENTION, LEARNING, AND MEMORY, PA |
| Entity Type | Organization |
| Authorized Contact | GARY GENE JOHNSON Owner & President 612-419-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP1794) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-29 |