NPI 1013269257

Carita R Shawchuck, PHD, PC

Organisation Clinical Child & Adolescent Psychologist Fargo, ND

Practice location

Address: 1121 Westrac Dr S STE 204, Fargo, ND 58103-2385
Phone: (701) 893-3419
Fax: (701) 356-8801

Authorised official

Name: Carita R Shawchuck
Title: Owner
Phone: (701) 893-3419

Registered specialties

Clinical Child & Adolescent Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 295 (ND)

Other Psychologist providers in North Dakota →

Registry record

NPI: 1013269257
Entity type: Organization
NPI issued: 12 Oct 2012
Record last updated: 12 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.