Individual
BRITTANY KIRSTEN VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1135 2ND AVE W STE 207, WILLISTON, ND 58801-4175
(701) 205-6318
(866) 279-5137
Mailing address
205 11TH ST E, WILLISTON, ND 58801-5445
(701) 205-6318
(866) 279-5137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2328
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455937
—
ND
01
—
2328
ND STATE SLP LICENSE
ND
Enumeration date
06/06/2008
Last updated
02/16/2024
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