IndividualActive
Ajeng Puspitasari, PHD
NPI 1346769759 · Clinical Psychologist · Rochester, MN
Provider details
- NPI number
- 1346769759
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- LP6254 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
200 1st St Sw
Rochester, MN 55905
Phone: (507) 284-2511
Approximate (ZIP-level) locationGet directions
Mailing address
200 1st St Sw
Rochester, MN 55905-0001
Registry dates
- Enumerated
- 2017-09-18
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.