Individual
ALEXANDRA D KOHLHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2870
KS
103TC0700X
Clinical Psychologist
2780
KS
103TC0700X
Clinical Psychologist
Primary
LP6671
MN
Other
Enumeration date
08/09/2017
Last updated
04/09/2021
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