# KRISLEA WEGNER PHD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wegner Pyschological Therapeutic Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245675362
- **Authorized official:** DR. KRISLEA ERIN WEGNER PHD (OWNER)
- **Authorized official phone:** (701) 361-0433

## Contact information

- **Practice address:** 3220 18TH ST S, SUITE 6, FARGO, ND 58104-6564
- **Practice address phone:** (701) 361-0433
- **Practice address fax:** (877) 843-4443
- **Mailing address:** 3220 18TH ST S, SUITE 6, FARGO, ND 58104-6564
- **Mailing address phone:** (701) 361-0433
- **Mailing address fax:** (877) 843-4443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2013
- **Last updated:** 05/02/2013