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Individual

CHRISTEN G HERRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
201 SLATE DR STE 4, BISMARCK, ND 58503-6181
(701) 877-1806
(701) 222-0331
Mailing address
201 SLATE DR STE 4, BISMARCK, ND 58503-6181
(701) 877-1806
(701) 222-0331

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
420
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10033
ND
01
420
LICENSE
ND
01
P00767214
RR MEDICARE
ND
Enumeration date
11/24/2008
Last updated
07/12/2022
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