Doctor Name: | HEIDI N ANDERSON |
NPI Number: | 1699808402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 852 |
Business Practice Address: | 1000 South Columbia Road Grand Forks, ND - 582066002 |
Business Phone Number: | 7017805000 |
Business Fax Number: | 7018692688 |
Mailing Address: | Po Box 6002, GRAND FORKS |
State: | ND |
Postal Code: | 582066002 |
Phone Number: | 7017805000 |
Fax Number: | 7013520188 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 11/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 852 |
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 |