Organization
GRACE & GROWTH PSYCHOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD M WAHL PSYD (PSYCHOLOGIST/OWNER)
(701) 415-8271
Entity
Organization
Contact information
Practice address
4719 SHELBURNE ST STE 11, BISMARCK, ND 58503-5677
(701) 415-8271
Mailing address
2055 XAVIER ST APT 217, BISMARCK, ND 58501-1413
(701) 415-8271
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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