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Individual

MS. CATHERINE YEAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973
Mailing address
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
360
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12098
ND
01
24908
ND BC/BS
ND
01
288L5YE
MN BC/BS
MN
05
527471100
MN
Enumeration date
04/25/2006
Last updated
09/07/2018
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