| NPI | 1023865722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA K LANDSIEDEL Speech Language Pathologist 701-721-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-21 |