| NPI | 1366563215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY L SANDBULTE Owner Psychologist 605-332-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SD 311) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |