Individual
DR. MATTHEW D CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
115 E HAVENS AVE STE 102, MITCHELL, SD 57301-4462
(605) 299-2829
Mailing address
PO BOX 1303, MITCHELL, SD 57301-7303
(605) 299-2829
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
488
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33171
SIOUX VALLEY HEALTH
SD
01
—
4995782
WELLMARK BC BS
SD
05
—
91400318
—
SD
01
—
9189
AVERA HEALTH
SD
01
—
SD449
DAKOTACARE
SD
Enumeration date
04/28/2006
Last updated
09/08/2024
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