Individual
DR. DELLA A MARTINSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2116 4TH AVE NW, STE # 100, MINOT, ND 58703-2967
(701) 838-2112
(701) 838-2115
Mailing address
2116 4TH AVE NW STE 100, MINOT, ND 58703-2967
(701) 838-2112
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
312
ND
103TC0700X
Clinical Psychologist
Primary
312
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1451948
—
ND
01
—
N731151
MEDICARE
ND
Enumeration date
10/11/2006
Last updated
03/15/2023
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