John Roy Sivesind ED.D

NPI 1689865081 - Psychologist - 103T00000X

NPI Details
NPI 1689865081
Gender Male
Enumeration Date 08/09/2007
Last Updated 08/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
107 W BROAD AVE
FLANDREAU SD, 57028, US
Phone (605) 997-2640
Fax
Business Location
107 W BROAD AVE
FLANDREAU SD, 57028, US
Phone (605) 997-2640
Fax
Toxanomy
Taxonomy Code 103T00000X
License State South Dakota
License Number 283
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According to our database, Dr. John Roy Sivesind ED.D NPI is 1689865081, taxonomy code is 103T00000X and license number is 283, license state is located at South Dakota. John Roy Sivesind ED.D physically located at 107 W Broad Ave, Flandreau SD, 57028. NPI Number John Roy Sivesind ED.D has the Individual type.

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1689865081 NPI number is provided on an as is basis without warranty of any kind. 1689865081 is maintained by the National Plan & Provider Enumeration System. The contents of John Roy Sivesind ED.D are for informational purposes only.