| NPI | 1962831131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE HAVEMAN Director Of Special Education 651-431-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: MN 475-878) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |