Individual
MICHAEL S TIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LP
Contact information
Practice address
200 FIRST STREET SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 FIRST STREET SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3694
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP3694
MN
Other
Enumeration date
12/01/2011
Last updated
01/18/2024
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