NPI 1003576638
Madalyn Pederson
Practice location
- Address
- 112 1st St W, Bemidji, MN 56601-4002
- Phone
- (218) 888-8032
- Mailing address
- 14 S Main St STE 1e, Aberdeen, SD 57401-4189
Registered specialties (2)
Mental Health Counselor
Primary
Counselor
Registry record
- NPI
- 1003576638
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Dec 2021
- Record last updated
- 16 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.