Individual
VICKI J MICHELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1900 8TH AVE. SE, MINOT, ND 58701
(701) 857-5998
(701) 857-5022
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
301
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10052
—
ND
Enumeration date
10/18/2006
Last updated
07/08/2007
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