Doctor Name: | MRS. EMILEE KAYE STAEHNKE |
NPI Number: | 1689804692 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CF-SLP |
License Number: | 1077 |
Business Practice Address: | 1112 Nodak Drive #135 Fargo, ND - 58103 |
Business Phone Number: | 7013649070 |
Business Fax Number: | |
Mailing Address: | 2602 18th Street South, #109 FARGO |
State: | ND |
Postal Code: | 58103 |
Phone Number: | 2182010693 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2009 |
NPI Last Update Date: | 07/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1077 |
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 |