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General NPI Number Information
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NPI Number | 1952040941
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Entity Type | Organization
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Legal Business Name | HERRICK PSYCHOLOGICAL SERVICES PLLC
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 201 SLATE DR STE 4
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City | BISMARCK
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State | ND
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Zip | 58503-6181
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Country | US
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Telephone | 701-877-1806
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Fax |
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Provider Business Mailing Address
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Address Line | 201 SLATE DR STE 4
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City | BISMARCK
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State | ND
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Zip | 58503-6181
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Country | US
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Telephone | 701-877-1806
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Fax | 701-222-0331
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Authorized Official
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Title or Position | OWNER/PHD
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Name | CHRISTEN HERRICK
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Credential | PHD
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Telephone | 701-877-1806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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