Whalio Doctors

NPI 1164606570

Dewey J. Ertz, EDD

Practitioner Psychologist Rapid City, SD

Practice location

Address
3601 Canyon Lake Dr, Rapid City, SD 57702-3900
Phone
(605) 341-8647
Fax
(605) 341-0489

Registered specialties (9)

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 123 (SD)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 123 (SD)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 123 (SD)
Family Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0000X Licence 123 (SD)
Forensic Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0200X Licence 123 (SD)
Intellectual & Developmental Disabilities Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TM1800X Licence 123 (SD)
Group Psychotherapy Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TP2701X Licence 123 (SD)
Rehabilitation Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TR0400X Licence 123 (SD)
School Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 29664-02 (SD)

Registry record

NPI
1164606570
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Dec 2007
Record last updated
20 Dec 2007

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.