| NPI | 1457544686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS O. ANDERSEN Owner/Psychologist 320-253-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2015-12-23 |