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Contact Information

STACY PEARSON, MD
900 42ND ST S
FARGO, ND58103-2119
 Phone: 701-238-5652
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STACY PEARSON · (Female)

NPI # 1902442304
Status Active
Credentials MD
Entity Individual
Enumeration date 11/20/2019
Last updated 11/20/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • ND Medicaid 07111972
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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