Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerilyn Marie Wiederholt, PSYCHOLOGIST

Individual provider Clinical Psychologist · NPI 1962691501

Jerilyn Marie Wiederholt, PSYCHOLOGIST is a Clinical Psychologist in Northfield, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
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Practice location Address checks out

209 Spring St N
Northfield, MN 55057-1432
Phone: (507) 645-4687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3079 (MN)

Record details

NPI number1962691501
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYCHOLOGIST
Sole proprietorYes
NPI enumeratedOctober 19, 2007
Last updated in NPPESFebruary 23, 2022
Certification dateNovember 4, 2021

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