NPI 1013001114

Jan Karen Witte-Bakken, PHD

Practitioner Clinical Psychologist Moorhead, MN

Practice location

Address: 891 Belsly Blvd, Moorhead, MN 56560-5055
Phone: (218) 287-4338
Fax: (218) 287-5928

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2205 (MN)

Other Psychologist providers in Minnesota →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 306 (ND)

Registry record

NPI: 1013001114
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2006
Record last updated: 24 Feb 2017

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.