| NPI | 1194889352 |
|---|---|
| Doing Business As | THE MILL STREET HOUSE |
| Entity Type | Organization |
| Authorized Contact | JAMES PAUL OTTESON Licensed Psychologist 507-446-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4284) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: MN LP4284) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-10-23 |