Organization Name: | PEDIATRIC SPEECH SOLUTIONS INCORPORATED |
NPI Number: | 1174679534 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANETTE ELIZABETH ANN VENAAS GILBRAITH (OWNER PRESIDENT) |
Mailing Address: | 10318 6th St S Fargo |
State: | ND US |
Postal Code: | 581048116 |
Phone Number: | 7012383908 |
Fax Number: | 7012322330 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |