Individual
MR. JAMES R KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
3487
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19565KU
BLUE CROSS
MN
05
—
995817700
—
MN
Enumeration date
10/03/2006
Last updated
12/13/2023
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