Individual
DR. DESIREE ZIELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4610 AMBER VALLEY PKWY S STE F, FARGO, ND 58104-8621
(701) 551-1840
(701) 551-1859
Mailing address
4610 AMBER VALLEY PKWY S STE F, FARGO, ND 58104-8621
(701) 551-1840
(701) 551-1859
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
489
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18937
—
ND
Enumeration date
12/16/2013
Last updated
06/08/2022
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