Organization
PRAIRIE RIVER THERAPY AND ASSESSMENTS
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENNAN DALE ATHERTON PHD (CLINICAL PSYCHOLOGIST)
(801) 717-0405
Entity
Organization
Contact information
Practice address
1309 11TH ST W APT 208, WILLISTON, ND 58801-4654
(801) 717-0405
Mailing address
1309 11TH ST W APT 208, WILLISTON, ND 58801-4654
(801) 717-0405
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
05/05/2026
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