Organization
CLINICAL AND DEVELOPMENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON JOSEPH EGLI PH.D. (LICENSED PSYCHOLOGIST)
(952) 923-8001
Entity
Organization
Contact information
Practice address
9384 OAK AVE, WACONIA, MN 55387-9422
(952) 923-8001
(952) 955-6213
Mailing address
9384 OAK AVE, WACONIA, MN 55387-9422
(952) 923-8001
(952) 955-6213
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5460
MN
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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