Jackson W Lind Llc, NPI 1427245372
Prescribing (Medical) Psychologist 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 1427245372
NPI Entity Type Organization
Provider Name Jackson W Lind Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2301 25th St S, Suite I, Fargo, ND, US
Provider Mailing Address 2301 25th St S, Suite I, Fargo, ND, US, 581036104
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D. Jackson W Lind
Official Position PRESIDENT
Phone 701-241-9300

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

103TP0016X

Taxonomy Name Prescribing (Medical) Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

License No. 2756
License State ND
Description A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Business Address

Jackson W Lind Llc
2301 25th St S
Suite I

Fargo, ND, US

Phone: 701-241-9300
Fax: 701-235-4525

Mailing Address

Jackson W Lind Llc
2301 25th St S
Suite I
Fargo, ND, US
ZIP 581036104
Phone: 701-241-9300
Fax: 701-235-4525

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