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Individual

LISA HAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1290
(701) 328-8871
(701) 328-8900
Mailing address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1290
(701) 328-8871
(701) 328-8900

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
293
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013978
BCBS OF ND PIN
Enumeration date
06/12/2006
Last updated
07/08/2007
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