Individual
MR. RILEY BRUCE NEUHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. L.P.
Contact information
Practice address
1801 W ALCOTT AVE, FERGUS FALLS, MN 56537-2661
(651) 231-3907
(218) 739-1329
Mailing address
1801 W ALCOTT AVE, FERGUS FALLS, MN 56537-2661
(651) 231-3907
(218) 739-1329
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 1275
MN
283Q00000X
Psychiatric Hospital
LP 1275
MN
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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