Healthcare Provider Details

I. General information

NPI: 1700972122
Provider Name (Legal Business Name): AGASSIZ ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 S WASHINGTON ST STE G
GRAND FORKS ND
58201-8155
US

IV. Provider business mailing address

4700 S WASHINGTON ST STE G
GRAND FORKS ND
58201-8155
US

V. Phone/Fax

Practice location:
  • Phone: 701-746-6336
  • Fax: 701-772-1030
Mailing address:
  • Phone: 701-746-6336
  • Fax: 701-772-1030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: BRANDI FUEHRER
Title or Position: OFFICE MANAGER
Credential:
Phone: 701-746-6336