Individual
KATIE NYLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3401 45TH ST S, FARGO, ND 58104
(701) 356-4384
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
(701) 232-2330
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
538
ND
Other
Enumeration date
11/09/2016
Last updated
02/06/2019
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