Individual
DR. MICHAEL JAMES FERRARESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
4635 NICOLS RD, SUITE 200, SAINT PAUL, MN 55122-3337
(952) 431-6862
Mailing address
4635 NICOLS RD, SUITE 200, SAINT PAUL, MN 55122-3337
(952) 431-6862
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0140
MN
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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