NPI | 1639743453 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAH MARIE OSBORN Psychologist Owner 952-220-3268 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103G00000X Clinical Neuropsychologist | |
103TF0200X Psychologist, Forensic | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-05-17 |
Last Update Date | 2021-05-17 |