NPI 1174890016

Decoteau Trauma-Informed Care & Practice, PLLC

Organisation Psychologist Bismarck, ND

Practice location

Address: 515 1/2 E Broadway Ave Suite. 106, Bismarck, ND 58501-4408
Phone: (701) 751-0443
Fax: (701) 751-1616

Authorised official

Name: Tami J de Coteau
Title: Owner
Phone: (701) 751-0443

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 392 (ND)

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Registry record

NPI: 1174890016
Entity type: Organization
NPI issued: 21 Nov 2011
Record last updated: 23 Nov 2015

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.