Organization
DEVELOPMENTAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY HIEB CLAUSEN PH.D. (OWNER)
(320) 363-8055
Entity
Organization
Contact information
Practice address
15 E MINNESOTA ST STE 105, SAINT JOSEPH, MN 56374-4691
(320) 363-8055
(320) 363-8056
Mailing address
15 E MINNESOTA ST STE 105, SAINT JOSEPH, MN 56374-4691
(320) 363-8055
(320) 363-8056
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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