Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JODI RAE BOERGER WILDER, LP
ActiveDR. JODI RAE BOERGER WILDER, LP is a Psychologist healthcare provider located in DETROIT LAKES, Minnesota. NPI 1699744227 is currently active in the NPPES registry. Verify at CMS.
Psychologist · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1699744227
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2006 (20.371458955789 yrs)
- Last Updated
- Mar 8, 2023
- Licenses
-
LP4398 (MN)LP4398 (MN)
Practice Information
- Address
-
1245 WASHINGTON AVEDETROIT LAKES, MN, 565013905Browse MN providers · Browse ZIP 56501
- Phone
- 2188462000
- Fax
- 2188462114
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in DETROIT LAKES, MN
| Name | Credential | NPI |
|---|---|---|
| BRIAN J GATHERIDGE | PHD | 1043465644 |
| SUSAN M. WELNEL | PHD | 1467697698 |
| DR. ELIZABETH EVENSON | PSY.D., LP | 1386967263 |
| DR. TESSIE BLAKE | PSY.D., L.P. | 1104183326 |
| DONALD H JANES | — | 1578940870 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.