Healthcare Provider Details

I. General information

NPI: 1164384723
Provider Name (Legal Business Name): KONRADY PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 N CLIFF AVE STE 4
HARRISBURG SD
57032-2524
US

IV. Provider business mailing address

225 N CLIFF AVE STE 4
HARRISBURG SD
57032-2524
US

V. Phone/Fax

Practice location:
  • Phone: 605-525-6366
  • Fax:
Mailing address:
  • Phone: 605-525-6366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SARAH KONRADY
Title or Position: OWNER
Credential: PH.D
Phone: 605-525-6366