| NPI | 1558338673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER CARTEN Owner 651-534-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2022-07-21 |