Provider Demographics
NPI:1689428930
Name:NEV PSYCHOLOGICAL CONSULTING, PLLC
Entity type:Organization
Organization Name:NEV PSYCHOLOGICAL CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:701-400-8043
Mailing Address - Street 1:513 E BISMARCK EXPY STE 16
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-6577
Mailing Address - Country:US
Mailing Address - Phone:701-400-8043
Mailing Address - Fax:
Practice Address - Street 1:513 E BISMARCK EXPY STE 16
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-6577
Practice Address - Country:US
Practice Address - Phone:701-400-8043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty