Brynna Grimestad
Speech-Language Pathologist, in West Fargo, ND. Individual provider (NPI-1).
NPI number1982007332
StatusActive
Last updated in NPPESSep 30, 2014
Details
- NPI
- 1982007332
- Entity type
- Individual (NPI-1)
- Name
- Brynna Grimestad
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2014
- Last updated
- Sep 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 1360 | ND | Yes |
Practice location
1150 Prairie Pkwy Ste 105West Fargo, ND 58078-3168
Phone 701-356-7766 · Fax 701-356-7765
Mailing address
1150 Prairie Pkwy Ste 105West Fargo, ND 58078-3168
Phone 701-356-7766 · Fax 701-356-7765
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All 64 Speech-Language Pathologist providers in West Fargo · All 868 providers in West Fargo
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