Individual
DR. CAITLIN POLLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, LP
Contact information
Practice address
1301 8TH ST S, MOORHEAD, MN 56560-3604
(701) 234-3100
Mailing address
1301 8TH ST S, MOORHEAD, MN 56560-3604
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
545
ND
103T00000X
Psychologist
Primary
LP6181
MN
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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