Gerard David Lasalle, MS LP Valid NPI

Individual provider · Psychologist · Lakeville, MN

NPI

1700944675

Type

Individual (Type 1)

Primary specialty

Psychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103T00000X

License number

LP1359 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2006-12-04

Last updated

2007-07-08