| Northern Hills Psychological Services, Llc | |
|
1130 N Main St Ste 1 Spearfish SD 57783-3017 | |
| (605) 641-8880 | |
| Not Available |
| Full Name | Northern Hills Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1130 N Main St Ste 1, Spearfish, South Dakota |
| Authorized Official Name and Position | Shannon Jean Maxwell (OWNER) |
| Authorized Official Contact | 6056418880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Hills Psychological Services, Llc 1130 N Main St Ste 1 Spearfish SD 57783-3017 Ph: (605) 641-8880 | Northern Hills Psychological Services, Llc 1130 N Main St Ste 1 Spearfish SD 57783-3017 Ph: (605) 641-8880 |
| NPI Number | 1881181642 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881181642 | NPI | - | NPPES |
| 1881181642 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 530 (South Dakota) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 530 (South Dakota) | Secondary |
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