Organization
MINNESOTA STATE COLLEGES & UNIVERSITIES
Active
Other names
MSUM Speech Language and Hearing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE PYLE MS CCC SLP (CHAIR)
(218) 477-2393
Entity
Organization
Contact information
Practice address
1104 7TH AVE SOUTH, MSUM BOX 119, MOORHEAD, MN 56563-0001
(218) 477-2330
(218) 477-2330
Mailing address
1104 7TH AVE SOUTH, MSUM BOX 119, MOORHEAD, MN 56563-0001
(218) 477-2330
(218) 477-4392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51661
—
ND
01
—
7G917MO
MN BCBS
MN
Enumeration date
11/17/2006
Last updated
12/15/2023
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