Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 558 | ND |
N | 103TC0700X | Clinical Psychologist | 558 | ND |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1013542182 |
---|---|
Provider Name | Dr. Nicola Ashton Herting |
First Address | Fargo, ND 58103-1937 |
Second Address | Fargo, ND 58103-1937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2020 |
Last Update Date | 22/07/2020 |