Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORA J BERTELSEN, PHD
Active Sole ProprietorLORA J BERTELSEN, PHD is a Counseling Psychologist healthcare provider located in WILTON, Minnesota. NPI 1932375029 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · WILTON, MN
Registration Details
- NPI Number
- 1932375029
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2008 (18.237067998188 yrs)
- Last Updated
- Mar 11, 2019
- License
-
4416 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1868 STONE LAKE RD NWWILTON, MN, 56601Browse MN providers · Browse ZIP 56601
- Phone
- 2185562858
- Fax
- 8883753627
- Primary Specialty
-
Counseling Psychologist
103TC1900X
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.