OrganizationActive
Sanford Medical Center Fargo
NPI 1962782268 · Clinical Child & Adolescent Psychologist · Fargo, ND
Provider details
- NPI number
- 1962782268
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Martha Leclerc, Vice President(701) 234-6248
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
100 4th St S
Fargo, ND 58103-1929
Phone: (701) 234-3100
Approximate (ZIP-level) locationGet directions
Mailing address
100 4th St S
Fargo, ND 58103-1929
Other names (DBA / former)
- Doing business as
- Sanford Professional Building
- Doing business as
- Sanford Professional Building
Registry dates
- Enumerated
- 2011-08-18
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.