| NPI | 1306921275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NOLEN O'NEIL Licensed Psychologist 612-455-6167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4307) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-05-06 |