Doctor Name: | MS. AMANDA MARIE VANDEN HOEK |
NPI Number: | 1639457112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CFY-SLP |
License Number: | 1175 |
Business Practice Address: | 3309 Fiechtner Dr S Ste D Fargo, ND - 581032375 |
Business Phone Number: | 7013649070 |
Business Fax Number: | 7013649071 |
Mailing Address: | 1415 20th St S Apt 13, MOORHEAD |
State: | MN |
Postal Code: | 565604750 |
Phone Number: | 6056809512 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2011 |
NPI Last Update Date: | 08/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1175 |
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 |