| NPI | 1467837922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LEIGH TIERNEY Licensed Psychologist 612-237-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN 5538) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |