Whalio Doctors

NPI 1649461344

Blooming Prairie Assessment & Therapy Center P.C.

Organisation Clinical Psychologist Devils Lake, ND

Practice location

Address
211 4th St NE STE 4, Devils Lake, ND 58301-2479
Phone
(701) 662-8255
Fax
(701) 662-1739

Authorised official

Name
Sara K Kenney
Title
Licensed Psychologist
Phone
(701) 662-8255

Registered specialties (3)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 377 (ND)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 464 (ND)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 4370 (ND)

Registry record

NPI
1649461344
Entity type
Organization
NPI issued
7 Aug 2007
Record last updated
17 Apr 2013

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.