| NPI | 1649793779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A GALLAGHER LINDH Clinical Psychologist 651-482-9361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6067) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-07-21 |