Individual
DR. ROBIN NICOLE WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
636 SAINT ANNE ST, RAPID CITY, SD 57701-4694
(605) 721-8822
Mailing address
PO BOX 387, RAPID CITY, SD 57709-0387
(605) 721-8822
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
469
SD
Other
Enumeration date
06/11/2006
Last updated
06/24/2008
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