| Gf Psychological Services | |
|
779 32nd Ave W West Fargo ND 58078-8565 | |
| (701) 526-6870 | |
| Not Available |
| Full Name | Gf Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 779 32nd Ave W, West Fargo, North Dakota |
| Authorized Official Name and Position | Gillian Freeborn (OWNER) |
| Authorized Official Contact | 7015266870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gf Psychological Services 779 32nd Ave W West Fargo ND 58078-8565 Ph: (701) 526-6870 | Gf Psychological Services 779 32nd Ave W West Fargo ND 58078-8565 Ph: (701) 526-6870 |
| NPI Number | 1992584023 |
|---|---|
| Provider Enumeration Date | 09/27/2023 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 5294186367 |
|---|---|
| Medicare Enrollment ID | O20240112003133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992584023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gillian Amanda Gervais Freeborn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780025932 PECOS PAC ID: 7911358080 Enrollment ID: I20240112003180 |
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