Doctor Name: | MS. MARY JO SCHILL |
NPI Number: | 1487876256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 119 |
Business Practice Address: | 290 Centennial Dr Stop 8040 Grand Forks, ND - 582028040 |
Business Phone Number: | 7017773727 |
Business Fax Number: | 7017774578 |
Mailing Address: | 290 Centennial Dr Stop 8040, GRAND FORKS |
State: | ND |
Postal Code: | 582028040 |
Phone Number: | 7017773727 |
Fax Number: | 7017774578 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 119 |
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 |