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Contact Information

LANCE KOENIG, ED.S.
820 NORTH WASHINGTON AVE
PLEC DAKOTA STATE UNIVERSITY
MADISON, SD57042
 Phone: 605-256-5555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LANCE KOENIG · (Male)

NPI Number 1275080889
Status Active
Credentials ED.S.
Entity Individual
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 72674-0
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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