| NPI | 1699075945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI LYNN HEDSTROM Speech Language Pathologist 701-356-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 957) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8674) |
| 235Z00000X Speech-Language Pathologist, (Licence: ND 840) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MN 8076) | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2022-01-14 |