Individual
JESSICA ANN SPORBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2400 47TH AVE S, GRAND FORKS, ND 58201-3405
(701) 746-2230
Mailing address
818 14TH AVE S, GRAND FORKS, ND 58201-5506
(701) 746-0672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
818
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459735
—
ND
05
—
53129
—
ND
Enumeration date
01/31/2007
Last updated
04/29/2026
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