| NPI | 1437393287 |
|---|---|
| Doing Business As | MAPLEWOOD PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | THOMAS E. KELLY Partner 651-770-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP 5043) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP 5043) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MN LP 5043) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MN LP 4596) | |
| 103TC0700X Psychologist, Clinical (Licence: MN LP 4596) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2022-06-10 |