Individual
DR. JODI R OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
803 E DAKOTA, PIERRA, SD 57501-0148
(605) 224-5811
(605) 224-6921
Mailing address
PO BOX 148, 803 E DAKOTA, PIERRA, SD 57501-0148
(605) 224-5811
(605) 224-6921
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3705
WI
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5200080
—
SD
Enumeration date
03/01/2007
Last updated
10/01/2019
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