| NPI | 1306544408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACKENZIE BACHMEIER Speech Language Pathologist 701-721-5957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-02-17 |