MINNESOTA EARLY AUTISM PROJECT
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1902093834- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7236 FORESTVIEW LN N, MAPLE GROVE, MN, 553695656
- Phone
- (763) 493-7935
- Fax
- (763) 493-7936
Specialties & Taxonomies
Psychologist, Clinical
Primary License: MN