| Blooming Prairie Psychology, Pllc | |
|
4521 Ottawa St Ste 209 Bismarck ND 58503-6196 | |
| (701) 202-8651 | |
| Not Available |
| Full Name | Blooming Prairie Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4521 Ottawa St Ste 209, Bismarck, North Dakota |
| Authorized Official Name and Position | Sara Kristine Kenney (OWNER) |
| Authorized Official Contact | 7017394729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Prairie Psychology, Pllc 15405 26th St Ne Baldwin ND 58521-6300 Ph: (701) 739-4729 | Blooming Prairie Psychology, Pllc 4521 Ottawa St Ste 209 Bismarck ND 58503-6196 Ph: (701) 202-8651 |
| NPI Number | 1346077369 |
|---|---|
| Provider Enumeration Date | 09/14/2024 |
| Last Update Date | 09/14/2024 |
| Certification Date | 09/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346077369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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