MRS. PHYLLIS JEAN MAGELKY M.S. CCC-SLP NPI 1407968522

NPI Information

NPI: 1407968522
Provider Name: MRS. PHYLLIS JEAN MAGELKY, M.S. CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
1112 NODAK DR S STE 135
FARGO, ND
ZIP 58103
Phone: (701) 364-9070
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MRS. Phyllis Jean Magelky, M.S. CCC-SLP is a speech language pathologist in Fargo, ND. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MRS. Phyllis Jean Magelky, M.S. CCC-SLP NPI is 1407968522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1112 NODAK DR S STE 135
FARGO, ND
ZIP 58103-744
Phone: (701) 364-9070
Fax: (701) 364-9071

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	235Z00000X	Speech-Language Pathologist		5882	MINNESOTA	No
2	235Z00000X	Speech-Language Pathologist		320	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11674	OTHER	NORTH DAKOTA	BLUE CROSS BLUE SHIELD
2	5G158N-MA	OTHER	MINNESOTA	BLUE CROSS/BLUE SHIELD
3	4043140-00	MEDICAID	MINNESOTA
4	1033438	OTHER	MINNESOTA	PREFERRED ONE
5	27397	OTHER	NORTH DAKOTA	BLUE CROSS BLUE SHIELD
6	58789	MEDICAID	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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