| NPI | 1770689705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE R VALTINSON Licensed Psychologist 612-205-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP 4370) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MN LP 4370) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-02-27 |