Individual
HANNAH BACZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7151 15TH ST S, FARGO, ND 58104-6613
(701) 364-2950
(701) 364-2953
Mailing address
7151 15TH ST S, FARGO, ND 58104-6613
(701) 364-2950
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
10071714-2501
UT
103T00000X
Psychologist
Primary
619
ND
Other
Enumeration date
01/30/2017
Last updated
10/04/2023
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