NPI 1275926172

Aleksandra Wantke, PSYD

Practitioner Clinical Psychologist Grand Forks Afb, ND

Practice location

Address: 319th Medical Group 1599 J Street, Grand Forks Afb, ND 58205
Phone: (701) 747-4460
Mailing address: 1599 J St, Grand Forks Afb, ND 58205-6306

Registered specialties (3)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 10734 (MA)

Other Psychologist providers in North Dakota →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 10734 (MA)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in North Dakota →

Registry record

NPI: 1275926172
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Mar 2015
Record last updated: 30 Sep 2020

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.