Organization
RICARDO ASCANO, LTD
Active
Organization
RICARDO ASCANO, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO P ASCANO JR. PH.D. (PSYCHOLOGIST)
(218) 643-3867
Entity
Organization
Contact information
Practice address
614 NEBRASKA AVE, BRECKENRIDGE, MN 56520-1545
(218) 643-3867
(218) 643-1630
Mailing address
PO BOX 325, BRECKENRIDGE, MN 56520
(218) 643-3867
(218) 643-1630
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1190
MN
Other
Enumeration date
06/24/2005
Last updated
08/22/2020
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