Organization
SUBURBAN NORTH PSYCHOLOGICAL SERVICES, P.A.
Active
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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