Individual
DAVID JOHN TUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
385
ND
103TC2200X
Clinical Child & Adolescent Psychologist
LP6544
MN
103TP0814X
Psychoanalysis Psychologist
385
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13706
—
ND
05
—
783862000
—
MN
Enumeration date
07/24/2006
Last updated
11/25/2025
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