| NPI | 1083220602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL PLEISS Owner 952-236-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-10-27 |