IndividualActive
Trevor Waagen, PH.D., LP
NPI 1164233003 · Counseling Psychologist · Grand Forks, ND
Provider details
- NPI number
- 1164233003
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., LP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 655 (ND)
Practice location
501 N Columbia Rd Rm 1300
Grand Forks, ND 58203-2817
Phone: (701) 777-3745
Mailing address
3500 30th Ave S Apt 103
Grand Forks, ND 58201-5952
Registry dates
- Enumerated
- 2025-01-20
- Last updated
- 2025-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.