| NPI | 1083858989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S ALTER Owner/Psychologist 763-546-5797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN LP1585) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MN LP1585) |
| 103T00000X Psychologist (Licence: MN LP1585) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2013-01-10 |