Jerilyn Marie Wiederholt, PSYCHOLOGIST
NPI #1962691501 in Northfield, Minnesota
Provider Information
- NPI Number
- 1962691501
- Entity Type
- Individual
- Name
- Jerilyn Marie Wiederholt, PSYCHOLOGIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSYCHOLOGIST
- Enumeration Date
- Oct 19, 2007
- Last Updated
- Feb 23, 2022
Practice Location
- Address
- 209 SPRING ST N
- City
- Northfield
- State
- Minnesota
- ZIP Code
- 55057-1432
- Phone
- (507) 645-4687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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