| Doctor Name: | CAROL ANN ANDERSON |
| NPI Number: | 1699875625 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 465153 |
| Business Practice Address: | 1606 29th Ave S Fargo, ND - 581035923 |
| Business Phone Number: | 7012614708 |
| Business Fax Number: | |
| Mailing Address: | 1018 37th Ave S, MOORHEAD |
| State: | MN |
| Postal Code: | 565606133 |
| Phone Number: | 2187901249 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 02/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 465153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |