SANFORD MEDICAL CENTER FARGO NPI 1962782268

NPI Information

  • NPI: 1962782268
  • Provider Name: SANFORD MEDICAL CENTER FARGO
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Organization
  • Doing Business As: SANFORD PROFESSIONAL BUILDING
  • Address: 100 4TH ST S
    FARGO, ND
    ZIP 58103
  • Phone: (701) 234-3100

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NPI Details

SANFORD MEDICAL CENTER FARGO is a clinical child and adolescent psychologist in Fargo, ND. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. SANFORD MEDICAL CENTER FARGO NPI is 1962782268. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Professional Building.

The provider's business location address is:

100 4TH ST S
FARGO, ND
ZIP 58103-929
Phone: (701) 234-3100

The provider's authorized official is Martha Leclerc .
The authorized official title is Vice President and has the following contact phone number (701) 234-6248.

The enumeration date for this NPI number is 8/18/2011 and was last updated on 11/27/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & AdolescentYes

What is NPI?

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This page was last updated on: 3/30/2025

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