| NPI | 1164393237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LYNN RICHTER Licensed Clinical Psychologist 218-481-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TF0000X Psychologist, Family | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0004X Psychologist, Health | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103T00000X Psychologist | |
| Enumeration Date | 2025-09-13 |
| Last Update Date | 2025-11-21 |