Christa Enebo, ED. S., NCSP
Individual provider Active NPI School Psychologist · Dickinson, ND
NPI 1073334793 · NPPES record last updated Oct 24, 2024
Key facts
- NPI
- 1073334793
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 65255 (ND)
- Practice address
- 444 4TH St W
Dickinson, ND 58601-4951 - Phone
- (701) 456-0002
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65255 | ND | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickinson Public Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 65255 | ND | Yes |
Addresses
Primary practice location
444 4TH St W
Dickinson, ND 58601-4951
Mailing address
444 4TH St W
Dickinson, ND 58601-4951
Other providers in Dickinson, ND
- Maxwell Richard Ehrhart
- Elite PT
- Amanda Ellerkamp
- Mark A Emmerich
- Empowerme Asl, LLC
- Engagement PLLC
- Jody L Enget
- Shannon L Engle
- Evan E Entze
- Brenda Jo Erie
All providers in Dickinson, ND · School Psychologist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.