| NPI | 1649893587 |
|---|---|
| Doing Business As | RIVER VALE PSYCHOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | NICOLE M. JOHNSON PSYD LP Owner/Licensed Psychologist 612-249-0287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-09-11 |