JACKSON W LIND LLC NPI 1427245372

NPI Information

JACKSON W LIND LLC is a prescribing (medical) psychologist in Fargo, ND. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. JACKSON W LIND LLC NPI is 1427245372. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2301 25TH ST S
SUITE I
FARGO, ND
ZIP 58103-104
Phone: (701) 241-9300
Fax: (701) 235-4525

The provider's authorized official is Jackson W Lind .
The authorized official title is President and has the following contact phone number (701) 241-9300.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 10/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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