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Individual

CAROL BETTY KUNTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PYS.D.

Contact information

Practice address
4400 W 69TH ST, STE 1500, SIOUX FALLS, SD 57108-8170
(605) 322-5700
(605) 322-5704
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
348
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040473
BLUE CROSS
SD
01
040121002
PRIMEWEST
MN
01
10648
MIDLANDS CHOICE
SD
01
120166
UCARE
MN
05
12200
ND
05
1958108
IA
01
26448
ARAZ/ AMERICA'S PPO
SD
01
27178
SANFORD HEALTH PLAN
SD
01
412991028112
PREFERRED ONE
SD
05
46022474352
NE
01
50M79KU
CC SYSTEMS/ BLUE PLUS
MN
01
57108C026
WPS TRICARE
SD
05
6550452
SD
01
680015877
RR MEDICARE
SD
05
926822700
MN
01
HP24863
HEALTHPARTNERS
SD
01
P347
DAKOTACARE
SD
Enumeration date
02/07/2006
Last updated
12/19/2008
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