Blooming Prairie Psychology
Psychologist in Bismarck, ND. Organization (NPI-2).
NPI number1346077369
StatusActive
Last updated in NPPESSep 23, 2025
Details
- NPI
- 1346077369
- Entity type
- Organization (NPI-2)
- Legal business name
- Blooming Prairie Psychology
- Organization subpart
- No
- Enumeration date
- Sep 14, 2024
- Certification date
- Sep 23, 2025
- Last updated
- Sep 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
4521 Ottawa St Ste 209Bismarck, ND 58503-6196
Phone 701-202-8651
Mailing address
4521 Ottawa St Ste 209Bismarck, ND 58503-6196
Phone 701-202-8651 · Fax 701-425-0421
Authorized official
Sara Kristine Kenney
Owner
7017394729
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