| NPI | 1861990012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MCPHERSON Owner 952-746-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP4457) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-03-17 |