| Doctor Name: | MRS. PHYLLIS JEAN MAGELKY |
| NPI Number: | 1407968522 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | 5882 |
| Business Practice Address: | 1112 Nodak Dr S Ste 135 Fargo, ND - 581038744 |
| Business Phone Number: | 7013649070 |
| Business Fax Number: | 7013649071 |
| Mailing Address: | 3309 Fiechtner Dr S Ste D, FARGO |
| State: | ND |
| Postal Code: | 581032375 |
| Phone Number: | 7013649070 |
| Fax Number: | 7013649071 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 10/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5882 |
| 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 |