Provider Demographics
NPI:1821080268
Name:NEHRING, DAVID EARL (PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:EARL
Last Name:NEHRING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S SYCAMORE AVE
Mailing Address - Street 2:SUITE 105-3
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110-1246
Mailing Address - Country:US
Mailing Address - Phone:605-334-3739
Mailing Address - Fax:605-334-7752
Practice Address - Street 1:400 S SYCAMORE AVE
Practice Address - Street 2:SUITE 105-3
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110-1246
Practice Address - Country:US
Practice Address - Phone:605-334-3739
Practice Address - Fax:605-334-7752
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD446103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4992871OtherBCBS
SD6552540Medicaid
SD6552540Medicaid