Dorothy Haire

Individual provider Active NPI School Psychologist · Wahpeton, ND

NPI 1043044530 · NPPES record last updated Aug 28, 2024

Key facts

NPI
1043044530
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
License
000058664 (ND)
Practice address
508 9TH St N
Wahpeton, ND 58075-4098
Phone
(701) 642-6741
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000058664NDMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 000058664 ND Yes

Addresses

Primary practice location

508 9TH St N
Wahpeton, ND 58075-4098

Mailing address

PO Box 10
Wahpeton, ND 58074-0010

Other providers in Wahpeton, ND

All providers in Wahpeton, ND · School Psychologist in North Dakota

Sources for this page

Verify at the official NPI Registry.