CLINICAL AND DEVELOPMENTAL SERVICES LLC
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1346661063- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 9384 OAK AVE, WACONIA, MN, 553879422
- Phone
- (952) 923-8001
- Fax
- (952) 955-6213
Specialties & Taxonomies
Psychologist, Clinical
Primary License: MN #5460