| NPI | 1376641688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LESLIE HOSCHOUER Licensed Psychologist 651-688-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP0817) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-01-12 |