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Dr. Jodi Rae Boerger Wilder, LP
Psychologist in Detroit Lakes, Minnesota
NPI 1699744227

Jodi Rae Boerger Wilder is a Psychologist based in Sioux Falls, MN. Jodi Rae Boerger Wilder practices in Detroit Lakes, MN and has the professional credentials of LP. The NPI Number for Jodi Rae Boerger Wilder is 1699744227 and holds a License No. LP4398 (Minnesota).

The current practice location address for Jodi Rae Boerger Wilder is 1245 Washington Ave, Detroit Lakes, MN and can be reached out via phone at 218-846-2000 and via fax at 218-846-2114.

Location: 1245 Washington Ave, Detroit Lakes, MN, 57117-5074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699744227
Provider Name
Jodi Rae Boerger Wilder
Credential
LP
Provider Entity Type
Individual
Gender
Female
Address
1245 Washington Ave, Detroit Lakes, MN, 57117-5074
Phone Number
218-846-2000
Fax Number
218-846-2114
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HP37004 01 HEALTH PARTNERS
629899100 05 MN
1699744227 05 MN
22522 01 ND BCBS OF ND
1032397 01 PREFERRED ONE
310T1B0 01 MN BCBS BHST
171126 01 MN UCARE ALTRU
6159749 01 MN UBH MEDICA
institution
Provider Business Practice Location Address Details
Address
1245 Washington Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3905
Phone Number
218-846-2000
Fax Number
218-846-2114
person
Provider Business Mailing Address Details
Address
1245 Washington Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3905
Phone Number
218-846-2000
Fax Number
218-846-2114
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
LP4398 (Minnesota)
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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP4398 (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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