Autism Society of Minnesota

NPI #1447236609 in Saint Paul, Minnesota

Provider Information

NPI Number: 1447236609
Entity Type: Organization
Organization Name: Autism Society of Minnesota
Primary Specialty: Psychologist
Enumeration Date: Dec 20, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 2380 WYCLIFF ST
Address 2: SUITE 102
City: Saint Paul
State: Minnesota
ZIP Code: 55114-1279
Phone: (651) 647-1083

Authorized Official

Name: DAWN BRASCH
Title: DIRECTOR
Phone: (651) 647-1083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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