| NPI | 1366622292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS COCHRANE SCHLUTTER Owner/Licensed Psychologist 952-925-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN LP1900) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: MN LP 1900) |
| 103TF0200X Psychologist Forensic (Licence: MN LP1900) | |
| 103TH0004X Psychologist Health (Licence: MN LP1900) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |