Individual
DR. DION XAVIER DARVEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
121 N MILL ST, FERGUS FALLS, MN 56537-2134
(218) 736-3035
(218) 737-0009
Mailing address
121 N MILL ST, FERGUS FALLS, MN 56537-2134
(218) 736-3035
(218) 737-0009
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
202
ND
103T00000X
Psychologist
Primary
LP5232
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17001
—
ND
01
—
5306
BLUE CROSS BLUE SHIELD
ND
05
—
574458100
—
MN
01
—
680003342
MEDICARE PTAN
MN
01
—
90687
SS DISABILITY DETERMINATI
ND
01
—
N717973
MEDICARE PTAN
ND
Enumeration date
09/16/2006
Last updated
03/11/2013
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