| NPI | 1154641900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE LEVINE ADLER President 952-707-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP2202) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP2202) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP2202) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |