MEDICARE: KONRADY PSYCHOLOGICAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1164384723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KONRADY PSYCHOLOGICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	225 N CLIFF AVE STE 4
Second Line	:
City	:	HARRISBURG
State	:	SD
Zip	:	57032-2524
Country	:	US
Telephone Number	:	605-525-6366
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 N CLIFF AVE STE 4
Second Line	:
City	:	HARRISBURG
State	:	SD
Zip	:	57032-2524
Country	:	US
Telephone Number	:	605-525-6366
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH KONRADY
Credential	:	PH.D
Telephone Number	:	605-525-6366

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/12/2025

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