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Dr. Mary G Freitag, PSYDLP
Clinical Psychologist in Stillwater, Minnesota
NPI 1447301908

Mary G Freitag is a Clinical Psychologist based in Stillwater, MN and is specialized in Clinical. Mary G Freitag practices in Stillwater, MN and has the professional credentials of PSYDLP. The NPI Number for Mary G Freitag is 1447301908 and holds a License No. LP4319 (Minnesota).

The current practice location address for Mary G Freitag is 10480 Perkins Ave N, Stillwater, MN and can be reached out via phone at 651-357-3216 and via fax at 651-730-6657.

Location: 10480 Perkins Ave N, Stillwater, MN, 55082-9273
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447301908
Provider Name
Mary G Freitag
Credential
PSYDLP
Provider Entity Type
Individual
Gender
Female
Address
10480 Perkins Ave N, Stillwater, MN, 55082-9273
Phone Number
651-357-3216
Fax Number
651-730-6657
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014959400 01 MN MEDICAL ASSISTANCE MHCP
130952 01 MN U CARE
0492456 05 MN
20358-02 01 MN BHP
028H0HA 01 MN BCBS
6151196 01 UBH
028H1FR 01 MN BCBS
1028022 01 MN MENTAL HEALTH
HP 33776 01 MN MENTAL HEALTH
institution
Provider Business Practice Location Address Details
Address
10480 Perkins Ave N
City
Stillwater
State
Minnesota
Zip
55082-9273
Phone Number
651-357-3216
Fax Number
651-730-6657
person
Provider Business Mailing Address Details
Address
10480 Perkins Ave N
City
Stillwater
State
Minnesota
Zip
55082-9273
Phone Number
651-357-3216
Fax Number
651-730-6657
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP4319 (Minnesota)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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