MEDICARE: DR. TRISHA KARSTEN GAUDIG PHD

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	103TH0100X	Health Service Psychologist	628	SD
2	103TC1900X	Counseling Psychologist	628	SD
3	103TC0700X	Clinical Psychologist	628	SD
4	103TA0700X	Adult Development & Aging Psychologist	628	SD
5	103T00000X	Psychologist	LP6815	MN
6	103T00000X	Psychologist	628	SD
7	103TB0200X	Cognitive & Behavioral Psychologist	628	SD

General Provider Information

NPI Number	:	1821524836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRISHA KARSTEN GAUDIG PHD

Provider Business Mailing Address
First Line	:	4800 S LOUISE AVE
Second Line	:	PMB 328
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-2217
Country	:	US
Telephone Number	:	605-215-1108
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 W 69TH ST STE 1500
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-8171
Country	:	US
Telephone Number	:	605-322-5700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	03/06/2026

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Directions to “ DR. TRISHA KARSTEN GAUDIG PHD” Practice Location

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