Individual
RICARDO P. ASCANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
126 E ALCOTT AVE, FERGUS FALLS, MN 56537-2903
(218) 736-6987
(218) 736-0734
Mailing address
1005 MAIN ST, BRECKENRIDGE, MN 56520-1011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP1190
MN
103TF0200X
Forensic Psychologist
Primary
LP1190
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006968
PREFERREDONE
MN
01
—
116403
UCARE MINNESOTA
MN
01
—
61-00173
UNITED BEHAVIORAL HEALTH
MN
01
—
61814AS
BLUE SHIELD OF MINNESOTA
—
01
—
HP30173
HEALTHPARTNERS
MN
Enumeration date
06/14/2006
Last updated
09/11/2025
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