Herrick Psychological Services Pllc | |
201 Slate Dr Ste 4 Bismarck ND 58503-6181 | |
(701) 877-1806 | |
Not Available |
Full Name | Herrick Psychological Services Pllc |
---|---|
Speciality | Psychologist |
Location | 201 Slate Dr Ste 4, Bismarck, North Dakota |
Authorized Official Name and Position | Christen Herrick (OWNER/PHD) |
Authorized Official Contact | 7018771806 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Herrick Psychological Services Pllc 201 Slate Dr Ste 4 Bismarck ND 58503-6181 Ph: (701) 877-1806 | Herrick Psychological Services Pllc 201 Slate Dr Ste 4 Bismarck ND 58503-6181 Ph: (701) 877-1806 |
NPI Number | 1952040941 |
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Provider Enumeration Date | 05/31/2022 |
Last Update Date | 07/27/2022 |
Certification Date | 07/27/2022 |
Medicare PECOS PAC ID | 8325428717 |
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Medicare Enrollment ID | O20220701000336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952040941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Christen G Herrick |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1689829202 PECOS PAC ID: 2062573363 Enrollment ID: I20081204000888 |
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