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Organization

UNIVERSITY OF NORTH DAKOTA

Active
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Organization

UNIVERSITY OF NORTH DAKOTA

Active
Parent organization
UNIVERSITY OF NORTH DAKOTA
Other names
UND Speech Language & Hearing Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF NORTH DAKOTA
Authorized official
DR. JOHN P MADDEN PH.D. (DEPARTMENT CHAIR)
(701) 777-3232
Entity
Organization

Contact information

Practice address
290 CENTENNIAL DR, MONTGOMERY HALL ROOM 101, GRAND FORKS, ND 58202-6063
(701) 777-3727
Mailing address
290 CENTENNIAL DR STOP 8040, GRAND FORKS, ND 58202-8040
(701) 777-3232

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50055
—
ND
Enumeration date
06/20/2007
Last updated
07/21/2008
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