Individual
DR. ROSALIE ETHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1712 ELMWOOD PL, JAMESTOWN, ND 58401-5748
(701) 269-2979
Mailing address
1712 ELMWOOD PL, JAMESTOWN, ND 58401-5748
(701) 269-2979
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
ND 268
ND
103TC0700X
Clinical Psychologist
268
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460283
—
ND
Enumeration date
01/30/2007
Last updated
03/27/2023
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