Beverly J Gunderson
Clinical Child & Adolescent Psychologist
4400 W 69th St Ste 1500
Sioux Falls
, South Dakota 57108-8170
Beverly J Gunderson
Clinical Child & Adolescent Psychologist
4400 W 69th St Ste 1500
Sioux Falls
, South Dakota 57108-8170
(605) 322-6475
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Beverly J Gunderson
- Po Box 86370
- Sioux Falls, SD
- Zip : 57118-6370
- Fax : (605) 322-6475
- Phone : (605) 322-7510
Second Address
- Beverly J Gunderson
- 4400 W 69th St Ste 1500
- Sioux Falls, SD
- Zip : 57108-8170
- Fax : (605) 322-5704
- Phone : (605) 322-5700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 195 | SD |
National Provider Identifier
| NPI | 1124090642 |
|---|---|
| Provider Name | Beverly J Gunderson |
| First Address | Sioux Falls, SD 57118-6370 |
| Second Address | Sioux Falls, SD 57108-8170 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2006 |
| Last Update Date | 11/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0040485 | BLUE CROSS (01) | SD |
| 040121002 | PRIMEWEST (01) | MN |
| 10635 | MIDLANDS CHOICE (01) | SD |
| 12200 | (05) | ND |
| 122288 | UCARE (01) | MN |
| 141M3GU | CC SYSTEMS/ BLUE PLUS (01) | MN |
| 28142 | SANFORD HEALTH PLAN (01) | SD |
| 3989442 | (05) | IA |
| 412991028090 | PREFERRED ONE (01) | SD |
| 46022474352 | (05) | NE |
| 57108C025 | WPS TRICARE (01) | SD |
| 581816800 | (05) | MN |
| 596332 | ARAZ/ AMERICA'S PPO (01) | SD |
| 6550806 | (05) | SD |
| 680015878 | RR MEDICARE (01) | SD |
| HP24855 | HEALTPARTNERS (01) | SD |
| P195 | DAKOTACARE (01) | SD |
| R02602 | (02) | SD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.