| NPI | 1902306038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SCOTT Co Owner/Manager 612-298-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4687) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP4679) |
| 103TC0700X Psychologist, Clinical (Licence: MN LP4436) | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |