Individual
CASSANDRA MATEJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-0060
(701) 364-0065
Mailing address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-0060
(701) 364-0065
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
649
ND
174400000X
Specialist
—
—
Other
Enumeration date
07/13/2021
Last updated
11/06/2023
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