MERRILL FAHLSTROM SLP NPI 1073604146

NPI Information

  • NPI: 1073604146
  • Provider Name: MERRILL FAHLSTROM, SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 683 STATE AVE STE B
    DICKINSON, ND
    ZIP 58601
  • Phone: (701) 483-9400

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NPI Details

Merrill Fahlstrom, SLP is a speech language pathologist in Dickinson, 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. Merrill Fahlstrom, SLP NPI is 1073604146. 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:

683 STATE AVE STE B
DICKINSON, ND
ZIP 58601-660
Phone: (701) 483-9400
Fax: (701) 483-9398

The enumeration date for this NPI number is 9/27/2006 and was last updated on 7/8/2007.

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
1235Z00000XSpeech-Language Pathologist248NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
159563MEDICAIDNORTH DAKOTA
2356513MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTA
319349OTHERNORTH DAKOTABLUE CROSS

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: 3/30/2025

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