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Jackson W Lind Llc
Prescribing (Medical) Psychologist in Fargo, North Dakota
NPI 1427245372

Jackson W Lind Llc is a Prescribing (Medical) Psychologist based in Fargo, ND and is specialized in Prescribing (Medical). Jackson W Lind Llc practices in Fargo, ND. The NPI Number for Jackson W Lind Llc is 1427245372 and holds a License No. 2756 (North Dakota).

The current practice location address for Jackson W Lind Llc is 2301 25Th St S, Fargo, ND and can be reached out via phone at 701-241-9300 and via fax at 701-235-4525.

Location: 2301 25Th St S, Fargo, ND, 58103-6104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427245372
Provider Name
Jackson W Lind Llc
Credential
Provider Entity Type
Organization
Address
2301 25Th St S, Fargo, ND, 58103-6104
Phone Number
701-241-9300
Fax Number
701-235-4525
Provider Enumeration Date
09/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18654 05 ND
institution
Provider Business Practice Location Address Details
Address
2301 25Th St S
City
Fargo
State
North Dakota
Zip
58103-6104
Phone Number
701-241-9300
Fax Number
701-235-4525
person
Provider Business Mailing Address Details
Address
2301 25Th St S
City
Fargo
State
North Dakota
Zip
58103-6104
Phone Number
701-241-9300
Fax Number
701-235-4525
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
2756 (North Dakota)
Definition
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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