Individual
JAMES J TORKILDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
900 HIGHWAY 34 E, SUITE A104, DETROIT LAKES, MN 56501-2643
(218) 331-8026
(218) 937-5657
Mailing address
9241 280TH ST S, HAWLEY, MN 56549-8985
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4518
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PREFERREDONE
MN
05
—
PENDING
—
MN
Enumeration date
05/27/2006
Last updated
10/05/2010
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