| NPI | 1164533212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN L ORCHARD Licensed Psychologist 952-848-2297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN LP4178) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-03-20 |