Individual
DR. LORI A. SHALEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1015 S BROADWAY, SUITE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Mailing address
1015 S BROADWAY, SUITE 18, MINOT, ND 58701-4667
(701) 857-8500
(701) 857-8555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
ND 362
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54517
—
ND
Enumeration date
01/30/2007
Last updated
10/18/2010
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