Individual provider · NPI-1
Kristi Nordick
Speech-Language Pathologist, · Wahpeton, ND
NPI number1679987333
StatusActive
Last updated in NPPESJun 19, 2014
Details
- NPI
- 1679987333
- Entity type
- Individual (NPI-1)
- Name
- Kristi Nordick
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2014
- Last updated
- Jun 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | #1329 | ND | Yes |
Practice location
508 9th St NWahpeton, ND 58075-4098
Phone 701-642-3050
Mailing address
563 Western RdWahpeton, ND 58075-3744
Phone 701-899-2040
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