| NPI | 1972727105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERDE WILLIAM FRITSCHE Licensed Psychologist 651-647-1653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP 2514) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |