| NPI | 1376820118 |
|---|---|
| Doing Business As | ASC PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | GEORGE KOMARIDIS Owner/Clinical Director 507-345-4679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP1673) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN cc00325) |
| 103T00000X Psychologist (Licence: MN LP4863) | |
| 103TC0700X Psychologist, Clinical (Licence: MN LP4863) | |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2023-11-29 |