Graduated: 2020
NPI: 1629600010
Practice Locations (2)
NORTH PSYCHOLOGY CLINIC PA
11165 ZEALAND AVE N
CHAMPLIN, MN 553163595
7635310566106
INNOVATIVE PSYCHOLOGICAL CONSULTANTS, LLC
7236 FORESTVIEW LN N
MAPLE GROVE, MN 553695656
7634164167
Source: CMS National Downloadable File, September 2026.