Organization
CALM-CLINIC FOR ATTENTION, LEARNING, AND MEMOR
Active
Other names
CLINIC FOR ATTENTION, LEARNING, AND MEMORY, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GENE JOHNSON PHD (OWNER & PRESIDENT)
(612) 419-3266
Entity
Organization
Contact information
Practice address
1409 WILLOW ST, SUITE 600, MINNEAPOLIS, MN 55403-2269
(612) 872-9072
(612) 872-8605
Mailing address
1409 WILLOW ST, #600, MINNEAPOLIS, MN 55403
(612) 872-2343
(612) 872-4279
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1794
MN
Other
Enumeration date
12/13/2010
Last updated
12/29/2010
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