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Jerilyn Marie Wiederholt, PSYCHOLOGIST
Clinical Psychologist in Northfield, Minnesota
NPI 1962691501

Jerilyn Marie Wiederholt is a Clinical Psychologist based in Northfield, MN and is specialized in Clinical. Jerilyn Marie Wiederholt practices in Northfield, MN and has the professional credentials of PSYCHOLOGIST. The NPI Number for Jerilyn Marie Wiederholt is 1962691501 and holds a License No. 3079 (Minnesota).

The current practice location address for Jerilyn Marie Wiederholt is 209 Spring St N, Northfield, MN and can be reached out via phone at 507-645-4687.

Location: 209 Spring St N, Northfield, MN, 55057-1432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962691501
Provider Name
Jerilyn Marie Wiederholt
Credential
PSYCHOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
209 Spring St N, Northfield, MN, 55057-1432
Phone Number
507-645-4687
Fax Number
Provider Enumeration Date
10/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3079 01 MN PSYCHOLOGIST LICENSE
066327100 05 MN
institution
Provider Business Practice Location Address Details
Address
209 Spring St N
City
Northfield
State
Minnesota
Zip
55057-1432
Phone Number
507-645-4687
Fax Number
person
Provider Business Mailing Address Details
Address
209 Spring St N
City
Northfield
State
Minnesota
Zip
55057-1432
Phone Number
507-645-4687
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
3079 (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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