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Contact Information

ACCESS OF THE RED RIVER VALLEY
403 CENTER AVE
MOORHEAD, MN56560-1975
 Phone: 218-233-3991
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ACCESS OF THE RED RIVER VALLEY · (Female)

NPI Number 1184774622
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2007
Last updated 03/07/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 245 B-CR
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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