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Chambers & Blohm Psychological

Psychologist, Clinical in Bismarck, ND. Organization (NPI-2).

NPI number1114045465
StatusActive
Last updated in NPPESApr 1, 2019

Details

NPI
1114045465
Entity type
Organization (NPI-2)
Legal business name
Chambers & Blohm Psychological
Organization subpart
No
Enumeration date
Mar 26, 2007
Last updated
Apr 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical––Yes
1041C0700X Social Worker, Clinical––

Practice location

309 N Mandan St Ste 1
Bismarck, ND 58501-3886

Phone 701-323-0924 · Fax 701-323-0935

Mailing address

309 N Mandan St Ste 1
Bismarck, ND 58501-3886

Phone 701-323-0924 · Fax 701-323-0935

Authorized official

Kathy Blohm
Owner
7013230924

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