Doctor Name: | MS. PEGGY D. BIBERDORF |
NPI Number: | 1639267735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 310 |
Business Practice Address: | 290 Centennial Dr Stop 8040 Grand Forks, ND - 582026063 |
Business Phone Number: | 7017773232 |
Business Fax Number: | |
Mailing Address: | 1618 Lewis Blvd, GRAND FORKS |
State: | ND |
Postal Code: | 582031639 |
Phone Number: | 7017752694 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 310 |
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 |