Individual
PATRICIA A FETTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2159
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25G96FE
BCBS MN PRO FEE
MN
01
—
27G33FE
BCBS MN FACILITY
MN
05
—
39126100
—
WI
01
—
61-59205
MEDICA / UBH
MN
05
—
874516100
—
MN
01
—
HP27843
HEALTHPARTNERS
MN
01
—
NA9031022306
PREFERRED ONE
MN
Enumeration date
10/24/2006
Last updated
01/14/2021
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