Individual
DR. CHRIS A HERTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1237 W DIVIDE AVE STE 1, BISMARCK, ND 58501-1220
(701) 328-8888
Mailing address
1237 W DIVIDE AVE STE 1, BISMARCK, ND 58501-1220
(701) 328-8888
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
229
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005112
BC/BS PIN
ND
05
—
54523
—
ND
01
—
680009655
RR MEDICARE PIN
—
Enumeration date
07/03/2006
Last updated
03/29/2023
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