| NPI | 1780394270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE SHEPPARD Speech Language Pathologist 701-721-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2022-11-25 |