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Organization
PEDIATRIC SPEECH SOLUTIONS INCORPORATED
Active
Organization
PEDIATRIC SPEECH SOLUTIONS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANETTE ELIZABETH ANN VENAAS GILBRAITH (OWNER PRESIDENT)
(701) 238-3908
Entity
Organization
Contact information
Practice address
10318 6TH ST S, FARGO, ND 58104-8116
(701) 238-3908
(701) 232-2330
Mailing address
10318 6TH ST S, FARGO, ND 58104-8116
(701) 238-3908
(701) 232-2330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55035
—
ND
Enumeration date
01/26/2007
Last updated
08/22/2020
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