Jerilyn Marie Wiederholt, PSYCHOLOGIST | |
209 Spring St N, Northfield, MN 55057-1432 | |
(507) 645-4687 | |
Not Available |
Full Name | Jerilyn Marie Wiederholt |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 209 Spring St N, Northfield, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962691501 | NPI | - | NPPES |
3079 | Other | MN | PSYCHOLOGIST LICENSE |
066327100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 3079 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jerilyn Marie Wiederholt, PSYCHOLOGIST 209 Spring St N, Northfield, MN 55057-1432 Ph: (507) 645-4687 | Jerilyn Marie Wiederholt, PSYCHOLOGIST 209 Spring St N, Northfield, MN 55057-1432 Ph: (507) 645-4687 |
Barbara Anne Bofenkamp, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Division St, Northfield, MN 55057 Phone: 507-645-9304 Fax: 507-645-6151 | |
Theresa M Melnychenko, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 680 Professional Dr, Northfield, MN 55057 Phone: 507-663-0237 Fax: 507-663-1180 | |
Dr. Nathaniel Page, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2423 Valley Dr, Northfield, MN 55057 Phone: 801-471-8851 | |
Dr. Sylvia Jane Rinehart, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Division St S, Northfield, MN 55057 Phone: 507-645-9304 Fax: 507-645-6151 | |
Robyn Gunderson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 680 Professional Dr, Northfield, MN 55057 Phone: 507-663-0237 Fax: 507-663-1180 | |
Mr. Daniel John Dimick, MA, LP, LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 4th St E Ste 304, Northfield, MN 55057 Phone: 507-645-6575 | |
Elaine M Nesbit, MA LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 Division St, Center For Human Resources, Northfield, MN 55057 Phone: 507-645-9304 Fax: 507-645-6151 |