Individual
RITA LALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(218) 287-4338
(218) 287-5928
Mailing address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(218) 287-4338
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3995
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025406
PREFERREDONE
MN
01
—
14D05LA
BLUE SHIELD OF MINNESOTA
MN
05
—
460020700
—
MN
01
—
62-73369
UNITED BEHAVIORAL HEALTH
MN
01
—
HP29570
HEALTHPARTNERS
MN
Enumeration date
06/03/2006
Last updated
02/18/2010
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