Provider Type Icon

WILLISTON CENTER FOR PEDIATRIC THERAPY NPI 1912242223


NPI Information

NPI: 1912242223
Provider Name: WILLISTON CENTER FOR PEDIATRIC THERAPY
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1106 2ND ST W
WILLISTON, ND
ZIP 58801
Phone: (701) 572-5974
Get Directions

WILLISTON CENTER FOR PEDIATRIC THERAPY is a speech language pathologist in Williston, 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. WILLISTON CENTER FOR PEDIATRIC THERAPY NPI is 1912242223. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1106 2ND ST W
WILLISTON, ND
ZIP 58801-804
Phone: (701) 572-5974
Fax: (866) 279-5137

The provider's authorized official is Brittany K Vickers .
The authorized official title is Business Owner and has the following contact phone number (701) 572-5974.

The enumeration date for this NPI number is 11/28/2012 and was last updated on 11/26/2013.


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 Pathologist1036NORTH DAKOTAYes

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
156183MEDICAIDNORTH 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.