| NPI | 1760714182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY J LOOMANS Psychologist 612-730-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN 4802) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-23 |