Healthcare Provider Details

I. General information

NPI: 1255921276
Provider Name (Legal Business Name): TAMI JOLLIE-TROTTIER, PHD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2021
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 JOYFUL CIRCLE
BELCOURT ND
58316-5831
US

IV. Provider business mailing address

PO BOX 810
BELCOURT ND
58316-0810
US

V. Phone/Fax

Practice location:
  • Phone: 701-550-5120
  • Fax:
Mailing address:
  • Phone: 701-550-5120
  • Fax: 701-556-5226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TAMI S JOLLIE--TROTTIER
Title or Position: OWNER CLINICAL PSYCHOLOGIST
Credential: PHD
Phone: 701-550-7606