Individual
MARIA MERCEDES RICCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D LP
Contact information
Practice address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST. CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7115
Mailing address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7115
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP5779
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2009
Last updated
10/07/2014
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