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Organization
KNOWLTON, O'NEILL & ASSOCIATES, P.C.
Active
Organization
KNOWLTON, O'NEILL & ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY HEGSTAD PHD (PRESIDENT/CLINICAL PSYCHOLOGIST)
(701) 364-0060
Entity
Organization
Contact information
Practice address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-0060
(701) 364-0065
Mailing address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-0060
(701) 364-0065
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010742500
—
MN
01
—
056356001
BCBS-ND CLINIC #
ND
05
—
12045
—
ND
01
—
266S2KN
BCBS-MN GROUP #
MN
01
—
85532
HEALTHPARTNERS GROUP #
—
Enumeration date
07/01/2006
Last updated
03/19/2024
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