Jerilyn Marie Wiederholt, PSYCHOLOGIST - Psychologist in Northfield, MN

Jerilyn Marie Wiederholt, PSYCHOLOGIST is a Psychologist - Clinical based in Northfield, Minnesota. Jerilyn Marie Wiederholt is licensed to practice in Minnesota (license number 3079) and her current practice location is 209 Spring St N, Northfield, Minnesota. She can be reached at her office (for appointments etc.) via phone at (507) 645-4687.

NPI number for Jerilyn Marie Wiederholt is 1962691501 and her current mailing address is 209 Spring St N, Northfield, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962691501.

Contact Information

Jerilyn Marie Wiederholt, PSYCHOLOGIST
209 Spring St N,
Northfield, MN 55057-1432
(507) 645-4687
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJerilyn Marie Wiederholt
GenderFemale
SpecialityPsychologist - Clinical
Location209 Spring St N, Northfield, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962691501
  • Provider Enumeration Date: 10/19/2007
  • Last Update Date: 02/23/2022

Medical Identifiers

Medical identifiers for Jerilyn Marie Wiederholt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962691501NPI-NPPES
3079OtherMNPSYCHOLOGIST LICENSE
066327100MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 3079 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerilyn Marie Wiederholt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


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