Provider Demographics
NPI:1952407751
Name:DARVEAUX, DION XAVIER (PHD)
Entity Type:Individual
Prefix:DR
First Name:DION
Middle Name:XAVIER
Last Name:DARVEAUX
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 1:121 N MILL ST
Mailing Address - Street 2:
Mailing Address - City:FERGUS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56537-2134
Mailing Address - Country:US
Mailing Address - Phone:218-736-3035
Mailing Address - Fax:218-737-0009
Practice Address - Street 1:121 N MILL ST
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-2134
Practice Address - Country:US
Practice Address - Phone:218-736-3035
Practice Address - Fax:218-737-0009
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND202103T00000X
MNLP5232103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN680003342OtherMEDICARE PTAN
ND17001Medicaid
ND90687OtherSS DISABILITY DETERMINATI
ND5306OtherBLUE CROSS BLUE SHIELD
NDN717973OtherMEDICARE PTAN
MN574458100Medicaid
ND90687OtherSS DISABILITY DETERMINATI