Individual
DR. CAROL COLLETTE FOLLINGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D. LP
Contact information
Practice address
1132 28TH AVE S, SUITE 102, MOORHEAD, MN 56560-4420
(218) 731-2320
(218) 867-3712
Mailing address
1132 28TH AVE S, SUITE 102, MOORHEAD, MN 56560-4420
(218) 731-2320
(218) 867-3712
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4052
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
668524200
—
MN
Enumeration date
11/03/2006
Last updated
08/13/2013
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