Jodi Rae Boerger Wilder in Detroit Lakes - Psychologist
Jodi Rae Boerger Wilder - NPI 1699744227
Jodi Rae Boerger Wilder is a Psychologist in Detroit Lakes, Minnesota. Jodi Rae Boerger Wilder practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jodi Rae Boerger Wilder is 1699744227. The last update date is 2023-03-08.
Jodi Rae Boerger Wilder's current location address is 1245 Washington Ave, Detroit Lakes, Minnesota. You can contact this provider via phone number 2188462000 and fax number 2188462114. The mailing address for Jodi Rae Boerger Wilder is 1245 Washington Ave, Detroit Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Rae Boerger Wilder |
|---|---|
| Address | 1245 Washington Ave, Detroit Lakes, Minnesota |
| Phone Number | 2188462000 |
| Fax Number | 2188462114 |
| Sole Proprietor | N |
| Credentials | LP |
NPI Number Detail
| NPI Number | 1699744227 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2023-03-08 |
Provider Mailing Address Detail
| Address | 1245 Washington Ave |
|---|---|
| City | Detroit Lakes |
| State | Minnesota (MN) |
| Post Code | 565013905 |
| Phone Number | 2188462000 |
| Fax Number | 2188462114 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | LP4398 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HP37004 | HEALTH PARTNERS | ||
| 629899100 | MN | -- | |
| 1699744227 | MN | -- | |
| 22522 | ND | BCBS OF ND | |
| 1032397 | PREFERRED ONE | ||
| 310T1B0 | MN | BCBS BHST | |
| 171126 | MN | UCARE ALTRU | |
| 6159749 | MN | UBH MEDICA |
Post Comment/ Review Below
What is the Jodi Rae Boerger Wilder's 1699744227?
The Jodi Rae Boerger Wilder's NPI (National Provider Identifier) Number is 1699744227. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jodi Rae Boerger Wilder is physically located?
The Jodi Rae Boerger Wilder is situated at the following address: 1245 Washington Ave, Detroit Lakes, MN 565013905.
What is Jodi Rae Boerger Wilder's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jodi Rae Boerger Wilder is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did Jodi Rae Boerger Wilder receive its 1699744227 assignment from the Centers for Medicare & Medicaid Services?
The Jodi Rae Boerger Wilder was assigned its 1699744227 on 2006-03-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jodi Rae Boerger Wilder most recently updated?
The details pertaining to the Jodi Rae Boerger Wilder, including its address, specialty, and other relevant information, were last refreshed on 2023-03-08.