IndividualActive
Kathleen Tillman, PHD
NPI 1225579840 · Clinical Child & Adolescent Psychologist · Grand Forks, ND
Provider details
- NPI number
- 1225579840
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2100 S Columbia Road, Suite 202
Family Institute, PC
Grand Forks, ND 58201
Phone: (701) 282-9510
Approximate (ZIP-level) locationGet directions
Mailing address
2100 S Columbia Road, Suite 202
Grand Forks, ND 58201
Registry dates
- Enumerated
- 2017-03-15
- Last updated
- 2017-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.