Healthcare Provider Details

I. General information

NPI: 1336068030
Provider Name (Legal Business Name): ANNA MARIA SJOL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 47TH AVE S
GRAND FORKS ND
58201-3405
US

IV. Provider business mailing address

PO BOX 6000
GRAND FORKS ND
58206-6000
US

V. Phone/Fax

Practice location:
  • Phone: 701-746-2230
  • Fax:
Mailing address:
  • Phone: 701-746-2230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number000422843
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: