| Clinical And Developmental Services Llc | |
|
9384 Oak Ave Waconia MN 55387-9422 | |
| (952) 923-8001 | |
| (952) 955-6213 |
| Full Name | Clinical And Developmental Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9384 Oak Ave, Waconia, Minnesota |
| Authorized Official Name and Position | Clayton Joseph Egli (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9529238001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical And Developmental Services Llc 9384 Oak Ave Waconia MN 55387-9422 Ph: (952) 923-8001 | Clinical And Developmental Services Llc 9384 Oak Ave Waconia MN 55387-9422 Ph: (952) 923-8001 |
| NPI Number | 1346661063 |
|---|---|
| Provider Enumeration Date | 12/23/2013 |
| Last Update Date | 12/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346661063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5460 (Minnesota) | Primary |
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