Organization · Type 2 NPI
Tonka Life Center, Ltd
Clinical Psychologist · Long Lake, MN
Practice location
1605 W Wayzata Blvd
Long Lake, MN 55356-9300
Fax (952) 442-3620
Mailing address
400 10th St E
Waconia, MN 55387-4552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | None listed |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
About NPI 1154988350
Tonka Life Center, Ltd's National Provider Identifier is 1154988350, issued on May 22, 2019. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Long Lake, MN. The record was last updated on May 22, 2019.