Tonka Life Center, Ltd
NPI #1154988350 in Long Lake, Minnesota
Provider Information
- NPI Number
- 1154988350
- Entity Type
- Organization
- Organization Name
- Tonka Life Center, Ltd
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 22, 2019
- Last Updated
- May 22, 2019
Practice Location
Authorized Official
- Name
- BRIAN V NELSON, LP, LSP
- Title
- OWNER
- Phone
- (952) 393-6280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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