| Organization Name: | PROCESSUS P.A. |
| NPI Number: | 1740293109 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAY R DEFRIES (OFFICE MANAGER) |
| Mailing Address: | 110 2nd St S Suite 301 Waite Park |
| State: | MN US |
| Postal Code: | 563871314 |
| Phone Number: | 3202522976 |
| Fax Number: | 3206561570 |
| NPI Enumeration Date: | 08/15/2006 |
| NPI Last Update Date: | 09/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 804348 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |