| NPI | 1164496071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDITH ANN MESSICCI Licensed Psychologist Owner 763-494-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP0951) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |