Individual provider · Type 1 NPI

Jodi Rae Boerger Wilder, LP

Psychologist · Detroit Lakes, MN

NPI number 1699744227 Active

Practice location

1245 Washington Ave
Detroit Lakes, MN 56501-3905

Fax (218) 846-2114

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice locations

  • 900 Hilligoss Blvd SE, Fosston, MN 56542-1542 · (218) 435-1133

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XLP4398 (MN)
Psychologist Primary 103T00000XLP4398 (MN)

Psychologist: 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 adjustmen…

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About NPI 1699744227

Jodi Rae Boerger Wilder, LP's National Provider Identifier is 1699744227, issued on Mar 16, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Mar 8, 2023.