| NPI | 1790709145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWEY J ERTZ President Psychologist 605-341-8647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: SD 123) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: SD 123) |
| 103TF0000X Psychologist, Family (Licence: SD 123) | |
| 103TF0200X Psychologist, Forensic (Licence: SD 123) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: SD 123) | |
| 103T00000X Psychologist (Licence: SD 123) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: SD 123) | |
| 103TS0200X Psychologist, School (Licence: SD 123) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |