Organization
INTEGRATIVE PSYCHOLOGICAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY GENEVIEVE FREITAG PSY.D., L.P. (LICENSED CLINICAL PSYCHOLOGIST)
(651) 357-3216
Entity
Organization
Contact information
Practice address
10480 PERKINS AVE N, STILLWATER, MN 55082-9273
(651) 357-3216
(651) 430-8085
Mailing address
10480 PERKINS AVE N, STILLWATER, MN 55082-9273
(651) 357-3216
(651) 430-8085
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4319
MN
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028H0HA
MENTAL HEALTH
MN
05
—
0492456
—
MN
01
—
1028022
MENTAL HEALTH
MN
01
—
103T00000X
PSYCHOLOGIST
MN
01
—
130952
MENTAL HEALTH
MN
01
—
1382591
MENTAL HEALTH
MN
01
—
61-57516
MENTAL HEALTH
MN
01
—
74G37FR
MENTAL HEALTH
MN
01
—
HP33776
MENTAL HEALTH
MN
Enumeration date
06/18/2007
Last updated
11/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us