Individual
KYLEE J ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16771 15TH ST NE, BUXTON, ND 58218-9239
(701) 792-6488
(701) 335-7100
Mailing address
16771 15TH ST NE, BUXTON, ND 58218-9239
(701) 792-6488
(701) 335-7100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054519
—
ND
Enumeration date
03/14/2007
Last updated
01/15/2021
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