Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sanford Medical Center Fargo

Organization Clinical Child & Adolescent Psychologist · NPI 1962782268

Sanford Medical Center Fargo is a Clinical Child & Adolescent Psychologist in Fargo, North Dakota. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

100 4th St S
Fargo, ND 58103-1929
Phone: (701) 234-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X

Record details

NPI number1962782268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Leclerc — Vice President · (701) 234-6248
Other names Sanford Professional Building; Sanford Professional Building
NPI enumeratedAugust 18, 2011
Last updated in NPPESNovember 27, 2023
Mailing address100 4th St S, Fargo, ND 58103-1929

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