Organization
EAST RIVER PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DEE CHRISTIANSEN PHD (CLINICAL PSYCHOLOGIST/OWNER)
(605) 630-7387
Entity
Organization
Contact information
Practice address
3413 N OHLMAN ST, MITCHELL, SD 57301-5052
(605) 999-0728
Mailing address
3413 N OHLMAN ST, MITCHELL, SD 57301-5052
(605) 999-0728
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639136088
—
SD
Enumeration date
09/19/2022
Last updated
09/06/2024
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