Organization
BLOOMING PRAIRIE ASSESSMENT & THERAPY CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA K KENNEY PSYD (LICENSED PSYCHOLOGIST)
(701) 662-8255
Entity
Organization
Contact information
Practice address
211 4TH ST NE, STE 4, DEVILS LAKE, ND 58301-2479
(701) 662-8255
(701) 662-1739
Mailing address
211 4TH ST NE, STE 4, DEVILS LAKE, ND 58301-2479
(701) 662-8255
(701) 662-1739
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
377
ND
103TC0700X
Clinical Psychologist
464
ND
1041C0700X
Clinical Social Worker
4370
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14303
—
ND
01
—
600066
VALUE OPTIONS
ND
01
—
6978-001
BCBS OF ND
ND
Enumeration date
08/07/2007
Last updated
04/17/2013
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