Dr Johna C Hartnell, PHD | |
10 North River Road, Phs Indian Health Service, Fort Yates, ND 58538-0797 | |
(701) 854-3831 | |
(701) 854-3844 |
Full Name | Dr Johna C Hartnell |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 10 North River Road, Fort Yates, North Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558377796 | NPI | - | NPPES |
81613 | Medicaid | ND | |
000684106 | Other | WI | MEDICARE |
HSZI31ZJSB | Other | ND | INDIAN HEALTH SERVICE |
39035300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1129 (New Mexico) | Secondary |
103T00000X | Psychologist | 1116-57 (Wisconsin) | Secondary |
103T00000X | Psychologist | 0035 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Johna C Hartnell, PHD Po Box J, Phs Indian Health Service, Dir. Behavioral Health, Fort Yates, ND 58538-0527 Ph: (701) 854-8276 | Dr Johna C Hartnell, PHD 10 North River Road, Phs Indian Health Service, Fort Yates, ND 58538-0797 Ph: (701) 854-3831 |
Tami Decoteau, PHD Psychologist Medicare: Medicare Enrolled Practice Location: Indian Health Service, N10 Agency Street, Fort Yates, ND 58538 Phone: 605-854-8265 |