| NPI | 1073453874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY STEIN Clinical Psychologist 612-200-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| Enumeration Date | 2026-03-31 |
| Last Update Date | 2026-03-31 |