Healthcare Provider Details

I. General information

NPI: 1619943776
Provider Name (Legal Business Name): WESTWIND CONSULTING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 07/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 W VILLARD ST
DICKINSON ND
58601-5121
US

IV. Provider business mailing address

135 W VILLARD ST
DICKINSON ND
58601-5121
US

V. Phone/Fax

Practice location:
  • Phone: 701-225-1050
  • Fax: 701-225-6225
Mailing address:
  • Phone: 701-225-1050
  • Fax: 701-225-6225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ALAN J FEHR
Title or Position: OWNER
Credential: PHD
Phone: 701-225-1050