Ms. Loretta J. Fenske
Psychologist
301 Becker Ave Sw
Willmar
, Minnesota 56201-3302
Ms. Loretta J. Fenske
Psychologist
301 Becker Ave Sw
Willmar
, Minnesota 56201-3302
(320) 796-5049
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Ms. Loretta J. Fenske
- 10488 N Shore Dr
- Spicer, MN
- Zip : 56288-9568
- Phone : (320) 796-5049
Second Address
- Ms. Loretta J. Fenske
- 301 Becker Ave Sw
- Willmar, MN
- Zip : 56201-3302
- Phone : (320) 231-4399
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | LP0404 | MN |
| Y | 103T00000X | Psychologist | LP0404 | MN |
National Provider Identifier
| NPI | 1003882838 |
|---|---|
| Provider Name | Ms. Loretta J. Fenske |
| First Address | Spicer, MN 56288-9568 |
| Second Address | Willmar, MN 56201-3302 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.