Organization
STUART KRAUSE PHD CLINICAL PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM S KRAUSE PHD (OWNER)
(605) 791-0666
Entity
Organization
Contact information
Practice address
550 N 5TH ST, STE 3210, RAPID CITY, SD 57701-1375
(605) 791-0666
Mailing address
643 NORTHERN LIGHTS BLVD, APT 1311, BOX ELDER, SD 57719-6109
(605) 791-0666
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
511
SD
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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