Individual
DR. TRENT A BARSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Contact information
Practice address
1720 HIGHWAY 59 S, THIEF RIVER FALLS, MN 56701-4331
(218) 683-2676
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5310
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18630
—
ND
Enumeration date
11/09/2006
Last updated
05/08/2014
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