Organization
CLINICAL AND DEVELOPMENTAL SERVICES LLC
Active
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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