Individual
AUBREY W. IWANICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
100 FREEMAN DR, SAINT PETER, MN 56082-3504
(507) 985-2751
Mailing address
100 FREEMAN DR, SAINT PETER, MN 56082-3504
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP7097
MN
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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