| NPI | 1598487308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DEE CHRISTIANSEN Clinical Psychologist/Owner 605-630-7387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |