| NPI | 1922627520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MEENDERING Licensed Psychologist 612-283-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-07-26 |