| NPI | 1811788607 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANA TURBES Clinical Psychologist 612-968-5605  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical | 
| Additional Taxonomies | 103TH0004X Psychologist, Health | 
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103T00000X Psychologist | |
| Enumeration Date | 2025-05-13 | 
| Last Update Date | 2025-05-13 |