| NPI | 1770771982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRIAN DONAHUE Clinical Psychologist 952-831-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 4589) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |