Shaleen, Lori A.

Shaleen, Lori A. is an individual health care provider with primary practice located at 1015 S Broadway Suite 18, Minot ND 58701-4667. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Shaleen, Lori A. can be contacted via phone (701) 857-8500.

Contact Information

Primary practice address
1015 S Broadway Suite 18 Minot ND 58701-4667
Fax: (701) 857-8555
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X ND 362 North Dakota

Profile Details

NPI number 1356487821
LBN Legal business name Shaleen, Lori A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Oct 18th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356487821 NPPES
North Dakota MEDICAID 54517

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