| NPI | 1518806090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA MARIE BAUSKE SIMKINS Speech Language Pathologist 701-391-6496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-03-27 |
| Last Update Date | 2026-03-27 |