| NPI | 1225225683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN HAYES Licensed Psychologist 651-645-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4495) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |