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SUSAN MARIE FEDO ROSVOLD MA CCC SLP NPI 1740361450


NPI Information

NPI: 1740361450
Provider Name: SUSAN MARIE FEDO ROSVOLD, MA CCC SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
801 BROADWAY N
FARGO, ND
ZIP 58102
Phone: (701) 234-6970
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Susan Marie Fedo Rosvold, MA 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. Susan Marie Fedo Rosvold, MA CCC SLP NPI is 1740361450. 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:

801 BROADWAY N
FARGO, ND
ZIP 58102-641
Phone: (701) 234-6970

The enumeration date for this NPI number is 10/18/2006 and was last updated on 10/1/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist770154WISCONSINNo
2235Z00000XSpeech-Language Pathologist5815MINNESOTAYes
3235Z00000XSpeech-Language Pathologist1333NORTH DAKOTANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142707900MEDICAIDWISCONSIN
2ENROLLEDMEDICAIDMINNESOTA
3150000144MEDICARE PINMINNESOTA

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

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