Tami Decoteau, PHD | |
Indian Health Service, N10 Agency Street, Fort Yates, ND 58538 | |
(605) 854-8265 | |
Not Available |
Full Name | Tami Decoteau |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | Indian Health Service, Fort Yates, 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 |
---|---|---|---|
1356426993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 392 (North Dakota) | Primary |
103TC0700X | Psychologist - Clinical | 644 (Nebraska) | Primary |
Entity Name | Decoteau Trauma-informed Care & Practice Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174890016 PECOS PAC ID: 7911258025 Enrollment ID: O20180927002926 |
Mailing Address | Practice Location Address |
---|---|
Tami Decoteau, PHD 2608 8th Ave Se, Mandan, ND 58554-6402 Ph: (701) 751-0691 | Tami Decoteau, PHD Indian Health Service, N10 Agency Street, Fort Yates, ND 58538 Ph: (605) 854-8265 |
Dr. Johna C Hartnell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 North River Road, Phs Indian Health Service, Fort Yates, ND 58538 Phone: 701-854-3831 Fax: 701-854-3844 | |
Dr. Michael Trahan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Standing Rock Ave, Fort Yates, ND 58538 Phone: 701-854-8227 |