Individual
MICHAEL FENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
360 SHERMAN ST, SAINT PAUL, MN 55102-2564
(651) 724-9411
Mailing address
PO BOX 3, SOUTH SAINT PAUL, MN 55075-0003
(651) 705-2423
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3910
MN
Other
Enumeration date
12/11/2008
Last updated
11/03/2023
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