NPI | 1275680407 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY BROWN Licensed Psychologist 763-566-0922 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP 2069) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |