NPI | 1649378019 |
---|---|
Doing Business As | AURORA PSYCHOLOGICAL SERVICES |
Former Legal Business Name | ROGER OLSEN PSY LP LLC |
Entity Type | Organization |
Authorized Contact | ANNIE ELIZABETH EMANUEL Licensed Psychologist 651-274-1203 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4645) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2024-03-18 |