Organization
PSYCHOLOGICAL SERVICES OF VERMILLION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE LYNN BRADY PH.D. (OWNER)
(605) 624-9307
Entity
Organization
Contact information
Practice address
110 E MAIN ST, VERMILLION, SD 57069-2201
(605) 624-9307
(605) 624-9308
Mailing address
110 E MAIN ST, P.O. BOX 283, VERMILLION, SD 57069-2201
(605) 624-9307
(605) 624-9308
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
455
SD
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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