NPI | 1376318873 |
---|---|
Doing Business As | CLARY CLINIC |
Entity Type | Organization |
Authorized Contact | JESSICA LOUISE LEE Neuropsychologist 320-761-3644 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2023-11-15 |
Last Update Date | 2023-11-15 |