Individual
TODD WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
4719 SHELBURNE ST STE 11, BISMARCK, ND 58503-5677
(701) 415-8271
Mailing address
2055 XAVIER ST APT 217, BISMARCK, ND 58501-1413
(701) 415-8271
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3094
CO
103TC0700X
Clinical Psychologist
444
WY
103TC0700X
Clinical Psychologist
Primary
563P
ND
103TC0700X
Clinical Psychologist
6144
MN
Other
Enumeration date
05/08/2007
Last updated
05/07/2019
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