Richard A Kolotkin Phd Pa

LBN: Richard A Kolotkin Phd Pa
Richard A Kolotkin Phd Pa is an health care organization with primary practice located at 403 Center Ave Suite 601, Moorhead MN 56560-1975. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Richard A Kolotkin Phd Pa can be contacted via phone (701) 280-2484, or through Kolotkin, Richard A via phone (701) 280-2484.

Contact Information

Primary practice address
403 Center Ave Suite 601 Moorhead MN 56560-1975
Phone: (701) 280-2484
Fax: (701) 232-2220
Website:
Map and Directions
Authorized official contact:
Name: Kolotkin, Richard A PHD
Phone: (701) 280-2484

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1841338548
LBN Legal business name Richard A Kolotkin Phd Pa
DBA Doing business as
Authorized official Kolotkin, Richard A PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841338548 NPPES
North Dakota Other ND 108 PSYCHOLOGIST CLINICAL
North Dakota Other MN LP PSYCHOLOGIST CLINICAL

Popular Providers