| NPI | 1285905885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN SIMPSON-DAHL CEO/Owner 507-301-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP4079) |
| Additional Taxonomies | 171R00000X Interpreter |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 164W00000X Licensed Practical Nurse | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2022-03-30 |