| NPI | 1396040911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEVEN BAGDADE Licensed Psychologist/Principal Own 612-440-6315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4527) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2025-01-07 |