Individual
DR. RONALD JOSEPH WUTCHIETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6950 FRANCE AVE. SO., SUITE 103, EDINA, MN 55434
(952) 885-9018
(952) 885-9018
Mailing address
10375 WILDWOOD RD, BLOOMINGTON, MN 55437-2297
(952) 885-9018
(952) 885-9018
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP0219
MN
103TH0100X
Health Service Psychologist
Primary
LP0219
MN
103TR0400X
Rehabilitation Psychologist
LP0219
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8L680WU
BCBS
MN
Enumeration date
12/04/2006
Last updated
09/11/2025
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