NPI | 1356586457 |
---|---|
Entity Type | Organization |
Authorized Contact | STANLEY C FERNEYHOUGH President 651-464-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP1901) |
Enumeration Date | 2008-12-04 |
Last Update Date | 2008-12-04 |