| NPI | 1730388562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY LORAAS Clinical Psychologist 952-432-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN MN LP 3963) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2008-05-14 |