| NPI | 1679554497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY R MILLER Director/Psychologist 507-433-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP3235) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2009-06-16 |