Organization · Type 2 NPI
Blossom Services Group LLC
Intellectual & Developmental Disabilities Psychologist · West Fargo, ND
NPI number
1104790989
Active
Practice location
1042 14th Ave E Ste 210
West Fargo, ND 58078-3363
Mailing address
2046 Ruttan Ct
West Fargo, ND 58078-4258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
2 other providers at this address
Other intellectual & developmental disabilities psychologist providers in West Fargo
About NPI 1104790989
Blossom Services Group LLC's National Provider Identifier is 1104790989, issued on Oct 3, 2025. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in West Fargo, ND. The record was last updated on Oct 3, 2025.