Whalio Doctors

NPI 1043639537

Soliant Health

Organisation Local Education Agency (LEA) Pine City, MN

Practice location

Address
17586 Cedar Creek Rd, Pine City, MN 55063-4905
Phone
(320) 629-1170

Authorised official

Name
Mary Patricia Tilden
Title
School Psychologist
Phone
(320) 629-1179

Registered specialties

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X Licence 323119 (MN)

Registry record

NPI
1043639537
Entity type
Organization
NPI issued
11 Apr 2014
Record last updated
11 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.