Doctor Name: | MRS. ANDREA RACHELLE VOLK |
NPI Number: | 1285987081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, CCC-SLP |
License Number: | 8331 |
Business Practice Address: | 121 N Washington St Grand Forks, ND - 582033400 |
Business Phone Number: | 7017875862 |
Business Fax Number: | |
Mailing Address: | 2205 12th Ave Nw, EAST GRAND FORKS |
State: | MN |
Postal Code: | 567211031 |
Phone Number: | 7017418057 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2012 |
NPI Last Update Date: | 10/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8331 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
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 |