Individual
KATE ANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W 49TH ST, SIOUX FALLS, SD 57105
(605) 312-8700
(605) 312-8701
Mailing address
2400 W 49TH ST, SIOUX FALLS, SD 57105-6581
(605) 312-8700
(605) 312-8701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8080
NE
103G00000X
Clinical Neuropsychologist
Primary
576
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96097
AUXILARY NUMBER
NE
Enumeration date
09/16/2006
Last updated
04/26/2019
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