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THORA R ANDERSON PSYD

Clinical Neuropsychologist

Minot, North Dakota

Provider NPI: 1598831562

Provider Information:
 THORA R ANDERSON PSYD
Gender: F
Sole Proprietor


Practice Location:
1900 8TH AVE. SE  MINOT, ND 58701 US
Tel: 701-857-5998  Fax: 701-857-5022

Business Mailing Address:
PO BOX 5010  MINOT, ND 58702 US
Tel: 701-857-5650  Fax: 701-857-5031

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
ND307
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
ND307

Other Provider Identifiers:

IssuerNumberStateType
10488ND05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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