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 | 106H00000X Marriage & Family Therapist (Licence: MN LMFT1146) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP1794) |
103T00000X Psychologist (Licence: MN LP1733) | |
Enumeration Date | 2006-01-26 |
Last Update Date | 2025-09-11 |