Individual
JANET E GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1150 PRAIRIE PKWY STE 105, WEST FARGO, ND 58078-3168
(701) 356-7766
(701) 356-7765
Mailing address
1150 PRAIRIE PKWY STE 105, WEST FARGO, ND 58078-3168
(701) 356-7766
(701) 356-7765
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
840
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26666
ND BCBS
ND
05
—
51043
—
ND
Enumeration date
04/11/2007
Last updated
11/01/2010
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