Individual
OLIVIA ANN MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
(701) 222-3186
Mailing address
4132 SHORE FRONT PL, MANDAN, ND 58554-7989
(701) 425-4640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2918
ND
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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