Individual
MS. PAMELA LOUISE RETTERATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LP
Contact information
Practice address
54135 244TH ST, AUSTIN, MN 55912-5636
(507) 433-4715
(507) 433-7868
Mailing address
54135 244TH ST, AUSTIN, MN 55912-5636
(507) 433-4715
(507) 433-7868
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP # 3552
MN
Other
Enumeration date
02/28/2007
Last updated
07/09/2007
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