| Developmental Diagnostics, Llc | |
|
15 E Minnesota St Ste 105 Saint Joseph MN 56374-4691 | |
| (320) 363-8055 | |
| (320) 363-8056 |
| Full Name | Developmental Diagnostics, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 15 E Minnesota St Ste 105, Saint Joseph, Minnesota |
| Authorized Official Name and Position | Holly Hieb Clausen (OWNER) |
| Authorized Official Contact | 3203638055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Developmental Diagnostics, Llc 15 E Minnesota St Ste 105 Saint Joseph MN 56374-4691 Ph: (320) 363-8055 | Developmental Diagnostics, Llc 15 E Minnesota St Ste 105 Saint Joseph MN 56374-4691 Ph: (320) 363-8055 |
| NPI Number | 1831723808 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831723808 | NPI | - | NPPES |
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