| NPI | 1841347085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERGER Licensed Psychologist 952-929-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP 1910) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2014-06-26 |