Individual
DIANE E GROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D,
Contact information
Practice address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(228) 206-2371
Mailing address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(701) 723-5133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
60-1046
MS
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/23/2008
Last updated
03/15/2024
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