Sanford Clinic North, NPI 1023030046
Clinical Neuropsychologist in Fargo, ND, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1023030046
NPI Entity Type Organization
Provider Name Sanford Clinic North
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 700 1st Ave S, Fargo, ND, US
Provider Mailing Address 700 1st Ave S, Fargo, ND, US, 581031802
Is Sole Proprietor? No
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Organization Official

Official Name Martha K Leclerc
Official Position VP
Phone 701-234-6248

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

103G00000X

Taxonomy Name Clinical Neuropsychologist
Classification

Clinical Neuropsychologist

Group

Behavioral Health & Social Service Providers

Description A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Other Organization Name

Sanford Neuroscience Clinic
Doing Business As

Business Address

Sanford Clinic North
700 1st Ave S

Fargo, ND, US

Phone: 701-234-4036
Fax: 701-234-4134

Mailing Address

Sanford Clinic North
700 1st Ave S
Fargo, ND, US
ZIP 581031802
Phone: 701-234-4036
Fax: 701-234-4134

Secondary Taxonomies

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
CONNECT https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service 2.16.840.1.113883.3.1068.1 OTHER Yes 2720 Dundee Rd # 302, Northbrook, IL, US

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LPCC Megan Tarryn Degenstein

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