| NPI | 1568432904 |
|---|---|
| Doing Business As | LORING FAMILY CLINIC CLINIC FOR ATTENTION LEARNING AND MEMORY |
| Entity Type | Organization |
| Authorized Contact | GARY GENE JOHNSON Director President 612-872-9072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP1794) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP1733) |
| 106H00000X Marriage & Family Therapist (Licence: MN LMFT1146) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |