Individual
DR. HOLLY J HEGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-0060
(701) 364-0065
Mailing address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-0060
(701) 364-0065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
346
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13017
—
ND
01
—
24214
BLUECROSS/SHIELD-NODAKOTA
ND
01
—
261D4KN
BLUECROSS/SHIELD MINNESOT
MN
01
—
475441040691
PREFERRED ONE
—
01
—
61-60476
MEDICA (UBH)
—
05
—
938142200
—
MN
01
—
HP73717
HEALTHPARTNERS
—
Enumeration date
01/23/2006
Last updated
01/29/2008
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