Doctor Name: | DR. LESLEY CAROL MAGNUS |
NPI Number: | 1679636534 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 930 |
Business Practice Address: | 500 University Avenue West Minot, ND - 58707 |
Business Phone Number: | 7018583030 |
Business Fax Number: | 7018583032 |
Mailing Address: | 500 University Avenue West, MINOT |
State: | ND |
Postal Code: | 58707 |
Phone Number: | 7018583030 |
Fax Number: | 7018583032 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 930 |
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 |