Dr Diana Rose Slivensky, | |
100 4th St S, Fargo, ND 58103-1929 | |
(701) 234-4141 | |
Not Available |
Full Name | Dr Diana Rose Slivensky |
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Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 100 4th St S, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437715166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 570 (North Dakota) | Primary |
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
Mailing Address | Practice Location Address |
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Dr Diana Rose Slivensky, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (701) 234-2000 | Dr Diana Rose Slivensky, 100 4th St S, Fargo, ND 58103-1929 Ph: (701) 234-4141 |
Dr. Jaryn Lynn Allen, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104 Phone: 701-368-7400 | |
Dr. Nicola Ashton Herting, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S Ste 302, Fargo, ND 58103 Phone: 701-234-4587 | |
Ryan D Jagim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-4141 Fax: 701-234-4024 | |
Dr. Sarah R. Edwards, LP, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 218-303-6164 | |
Dr. Ani Celine Mangold, PHD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-2000 | |
Ellee Bergren, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 7th St S, Fargo, ND 58103 Phone: 701-446-1014 | |
Jay Robert Phillippi, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 112 University Dr N Ste 300, Fargo, ND 58102 Phone: 701-866-3641 Fax: 701-660-1071 |