Organization
NEUROPSYCHOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY SWENSON PH.D. A.B.P.N. (PRESIDENT)
(701) 297-7588
Entity
Organization
Contact information
Practice address
1220 MAIN AVE STE 100, FARGO, ND 58103-8201
(701) 297-7588
(701) 364-2256
Mailing address
1220 MAIN AVE STE 100, FARGO, ND 58103-8233
(701) 297-7588
(701) 364-2256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
171
ND
174400000X
Specialist
226
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12261
—
ND
Enumeration date
05/05/2006
Last updated
10/28/2010
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