Organization
SUBURBAN NORTH PSYCHOLOGICAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERDE WILLIAM FRITSCHE PH.D., L.P. (LICENSED PSYCHOLOGIST)
(651) 647-1653
Entity
Organization
Contact information
Practice address
1313 5TH ST SE, MAILBOX 45, SUITE 114 B, MINNEAPOLIS, MN 55414-4504
(612) 819-7485
(612) 379-3183
Mailing address
1512 CALIFORNIA AVE W, SAINT PAUL, MN 55108-2105
(651) 647-1653
(612) 379-3183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 2514
MN
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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