| NPI | 1124571294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA R PINNOW Owner 701-721-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1467) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2019-03-18 |