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Contact Information

BEVERLY J GUNDERSON, ED.D.
4400 W 69TH ST
STE 1500
SIOUX FALLS, SD57108-8170
 Phone: 605-322-5700
 Fax: 605-322-5704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BEVERLY J GUNDERSON · (Female)

NPI # 1124090642
Status Active
Credentials ED.D.
Entity Individual
Enumeration date 02/07/2006
Last updated 10/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 195
  • IA Medicaid 3989442
  • MN Medicaid 581816800
  • ND Medicaid 12200
  • NE Medicaid 46022474352
  • SD Medicaid 6550806
  • MN Other 141M3GU CC SYSTEMS/ BLUE PLUS
  • MN Other 040121002 PRIMEWEST
  • MN Other 122288 UCARE
  • SD Other 596332 ARAZ/ AMERICA'S PPO
  • SD Other 0040485 BLUE CROSS
  • SD Other P195 DAKOTACARE
  • SD Other HP24855 HEALTPARTNERS
  • SD Other 10635 MIDLANDS CHOICE
  • SD Other 412991028090 PREFERRED ONE
  • SD Other 680015878 RR MEDICARE
  • SD Other 28142 SANFORD HEALTH PLAN
  • SD Other 57108C025 WPS TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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