| Dakota Therapy Center, Llc | |
|
600 Demers Ave Ste 301 Grand Forks ND 58201-4599 | |
| (701) 746-9341 | |
| Not Available |
| Full Name | Dakota Therapy Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 600 Demers Ave Ste 301, Grand Forks, North Dakota |
| Authorized Official Name and Position | Jennifer Anderson (OFFICE MANAGER) |
| Authorized Official Contact | 7017469341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Therapy Center, Llc 600 Demers Ave Ste 301 Grand Forks ND 58201-4599 Ph: () - | Dakota Therapy Center, Llc 600 Demers Ave Ste 301 Grand Forks ND 58201-4599 Ph: (701) 746-9341 |
| NPI Number | 1932265048 |
|---|---|
| Provider Enumeration Date | 01/01/2007 |
| Last Update Date | 07/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932265048 | NPI | - | NPPES |
| 19143 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 266 (North Dakota) | Primary |
| 1041C0700X | Social Worker - Clinical | 995 (North Dakota) | Secondary |
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