Organization
TISCHER THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONYA B BLAIR-TISCHER LP (LICENSED PSYCHOLOGIST)
(218) 651-0212
Entity
Organization
Contact information
Practice address
115 5TH ST N, BRECKENRIDGE, MN 56520-1434
(218) 651-0212
Mailing address
115 5TH ST N, BRECKENRIDGE, MN 56520-1434
(218) 651-0212
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6011
MN
251S00000X
Community/Behavioral Health Agency
80410114
ND
251S00000X
Community/Behavioral Health Agency
827
MN
Other
Enumeration date
11/25/2014
Last updated
02/21/2017
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