| NPI | 1073379293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE N PEREZ Board Certified Neuropsychologist 612-460-1597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-10-10 |