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 |