Healthcare Provider Details

I. General information

NPI: 1215857008
Provider Name (Legal Business Name): MEGAN MARIE ALLARD NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9780 23RD AVE NE
DUNSEITH ND
58329-9620
US

IV. Provider business mailing address

9780 23RD AVE NE
DUNSEITH ND
58329-9620
US

V. Phone/Fax

Practice location:
  • Phone: 701-228-4305
  • Fax:
Mailing address:
  • Phone: 701-228-4305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number000064779
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: