Individual
SHAYNA R DOERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
683 STATE AVE, STE B, DICKINSON, ND 58601-4660
(701) 483-9400
Mailing address
683 STATE AVE, STE B, DICKINSON, ND 58601-4660
(701) 483-9400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1075
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12229
BLUE CROSS OF NORTH DAKOTA
ND
05
—
52114
—
ND
Enumeration date
06/01/2009
Last updated
06/01/2009
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