Individual
ERIC FODNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S
Contact information
Practice address
21 SAINT JOSEPH ST, RAPID CITY, SD 57701-2822
(605) 394-4036
Mailing address
21 SAINT JOSEPH ST, RAPID CITY, SD 57701-2822
(605) 394-4036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
83218
SD
Other
Enumeration date
08/16/2021
Last updated
08/17/2021
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