Malevich, Carissa

Malevich, Carissa is an individual health care provider with primary practice located at 2424 32Nd Ave S Ste 202 , Grand Forks ND 58201-6510. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Malevich, Carissa can be contacted via phone (701) 746-6336.

Contact Information

Primary practice address
2424 32Nd Ave S Ste 202 Grand Forks ND 58201-6510
Phone: (701) 746-6336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 569 North Dakota

Profile Details

NPI number 1851873046
LBN Legal business name Malevich, Carissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2018
Last updated Apr 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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