Individual
WILLIAM J KNOFLICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4400 W 69TH ST, STE. 500, SIOUX FALLS, SD 57108-8171
(605) 322-7580
(605) 322-7579
Mailing address
2400 S. MINNESOTA AVE, STE 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
461
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247052700
—
MN
05
—
46022474326
—
NE
01
—
4993504
WELLMARK BCBS
SD
05
—
6552352
—
SD
01
—
9236559
DAKOTACARE PROV #
SD
01
—
99GO9KN
MN BLUE CROSS PROV #
MN
Enumeration date
12/14/2006
Last updated
02/18/2015
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