| NPI | 1881183077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN LEANNE MCCORMICK Clinical Psychologist 952-240-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 60810342) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |