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Organization

LAIDLAW PSYCHOLOGICAL SERVICES, PLC

Active
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Organization

LAIDLAW PSYCHOLOGICAL SERVICES, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT A LAIDLAW PH.D. (CLINICAL PSYCHOLOGIST)
(701) 780-9700
Entity
Organization

Contact information

Practice address
3301 30TH AVE S STE 101, GRAND FORKS, ND 58201-6009
(701) 780-9700
(701) 780-9709
Mailing address
3301 30TH AVE S STE 101, GRAND FORKS, ND 58201-6009
(701) 780-9700
(701) 780-9709

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
204
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012274
ND
01
N711209
MEDICARE PART B
ND
Enumeration date
10/24/2006
Last updated
04/18/2014
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