Individual
DR. BRENDA J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2808 17TH AVE S, GRAND FORKS, ND 58201-4010
(701) 746-8376
(701) 746-9872
Mailing address
2808 17TH AVE S, GRAND FORKS, ND 58201-4010
(701) 746-8376
(701) 746-9872
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
357
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12052
—
ND
Enumeration date
07/10/2006
Last updated
07/09/2007
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