Grace & Growth Psychology Services, Pllc | |
4719 Shelburne St Ste 11 Bismarck ND 58503-5677 | |
(701) 415-8271 | |
Not Available |
Full Name | Grace & Growth Psychology Services, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4719 Shelburne St Ste 11, Bismarck, North Dakota |
Authorized Official Name and Position | Todd M Wahl (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 7014158271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grace & Growth Psychology Services, Pllc 2055 Xavier St Apt 217 Bismarck ND 58501-1413 Ph: (701) 415-8271 | Grace & Growth Psychology Services, Pllc 4719 Shelburne St Ste 11 Bismarck ND 58503-5677 Ph: (701) 415-8271 |
NPI Number | 1871158733 |
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Provider Enumeration Date | 05/07/2019 |
Last Update Date | 05/07/2019 |
Identifier | Type | State | Issuer |
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1871158733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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