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Contact Information

JOHN R SIVESIND, ED.D
107 W BROAD AVE
FLANDREAU, SD57028
 Phone: 605-997-2640
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN R SIVESIND · (Male)

NPI Number 1689865081
Status Active
Credentials ED.D
Entity Individual
Enumeration date 08/09/2007
Last updated 08/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 283
  • SD Medicaid 5546010
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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