| NPI | 1194679233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON MAGNUSON Speech Language Pathologist 701-509-7143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-02-25 |
| Last Update Date | 2026-02-25 |