Individual
MS. RITAMARIE RISLEY BALCERZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2186 3RD ST, SUITE 105, WHITE BEAR LAKE, MN 55110-3263
(651) 227-8880
(651) 227-8908
Mailing address
2186 3RD ST, SUITE 105, WHITE BEAR LAKE, MN 55110-3263
(651) 227-8880
(651) 227-8908
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1726
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
546547800
—
MN
Enumeration date
03/04/2007
Last updated
02/26/2013
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