Jan Karen Witte-Bakken
Clinical Psychologist
891 Belsly Blvd
Moorhead
, Minnesota 56560-5055
Jan Karen Witte-Bakken
Clinical Psychologist
891 Belsly Blvd
Moorhead
, Minnesota 56560-5055
(218) 287-5928
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Jan Karen Witte-Bakken
- 891 Belsly Blvd
- Moorhead, MN
- Zip : 56560-5055
- Fax : (218) 287-5928
- Phone : (218) 287-4338
Second Address
- Jan Karen Witte-Bakken
- 891 Belsly Blvd
- Moorhead, MN
- Zip : 56560-5055
- Fax : (218) 287-5928
- Phone : (218) 287-4338
Reviews
FAQs
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In what state does Jan Karen Witte-Bakken practice in?
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What is Jan Karen Witte-Bakken ’s gender?
Is Jan Karen Witte-Bakken a sole practitioner?
Is Jan Karen Witte-Bakken accepting new patients?
What languages does Jan Karen Witte-Bakken speak?
Does Jan Karen Witte-Bakken accept insurance?
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Does Jan Karen Witte-Bakken have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 2205 | MN |
| Y | 103TC0700X | Clinical Psychologist | 2205 | MN |
| N | 103G00000X | Clinical Psychologist | 306 | ND |
| N | 103TC0700X | Clinical Psychologist | 306 | ND |
National Provider Identifier
| NPI | 1013001114 |
|---|---|
| Provider Name | Jan Karen Witte-Bakken |
| First Address | Moorhead, MN 56560-5055 |
| Second Address | Moorhead, MN 56560-5055 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 24/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11082 | MEDICAID (01) | ND |
| 18691 | BLUE CROSS (01) | ND |
| 505252100 | (05) | MN |
| O58334 | (02) |
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.