| NPI | 1922443662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BRENDAN SCHATTENBERG Clinical Psychologist 612-872-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4579) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |