| NPI | 1306123187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A BUHL Psychologist 320-493-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP4637) |
| Additional Taxonomies | 251S00000X (Licence: MN LP4637) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |