Tonka Life Center
NPI #1992171110 in Wayzata, Minnesota
Provider Information
- NPI Number
- 1992171110
- Entity Type
- Organization
- Organization Name
- Tonka Life Center
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Aug 12, 2015
- Last Updated
- Oct 24, 2015
Practice Location
Authorized Official
- Name
- BRIAN VERNON NELSON, MA LP
- Title
- OWNER
- Phone
- (952) 393-6280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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