Individual
RAINA HERUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 490, PELICAN RAPIDS, MN 56572-0490
(701) 429-4488
Mailing address
PO BOX 490, PELICAN RAPIDS, MN 56572-0490
(701) 429-4488
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
464154
MN
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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