Organization
MARIPOSA PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI L ORDHAL PSY D LP (OWNER)
(507) 424-4016
Entity
Organization
Contact information
Practice address
322 ELTON HILLS DR, ROCHESTER, MN 55901
(507) 424-4016
(507) 424-4017
Mailing address
322 ELTON HILLS DR, ROCHESTER, MN 55901
(507) 424-4016
(507) 424-4017
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4469
MN
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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