| Doctor Name: | RICARDO P. ASCANO |
| NPI Number: | 1104869049 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | LP1190 |
| Business Practice Address: | 126 E Alcott Ave Fergus Falls, MN - 565372903 |
| Business Phone Number: | 2187366987 |
| Business Fax Number: | 2187360734 |
| Mailing Address: | 1005 Main St, BRECKENRIDGE |
| State: | MN |
| Postal Code: | 565201011 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP1190 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |