Kalissa K Klimek, SLP-A
Specialist/Technologist, Speech-Language Assistant in West Fargo, ND. Individual provider (NPI-1).
NPI number1699485334
StatusActive
Last updated in NPPESDec 5, 2022
Details
- NPI
- 1699485334
- Entity type
- Individual (NPI-1)
- Name
- Kalissa K Klimek
- Credential
- SLP-A
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2022
- Certification date
- Dec 4, 2022
- Last updated
- Dec 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | 2278 | ND | Yes |
Practice location
1876 Charleswood Estates DrWest Fargo, ND 58078-4203
Phone 701-347-1782 · Fax 701-404-8274
Mailing address
1876 Charleswood Estates DrWest Fargo, ND 58078-4203
Phone 701-347-1782 · Fax 701-404-8274
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