| NPI | 1346661063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON JOSEPH EGLI Licensed Psychologist 952-923-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 5460) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |