Individual
AMANDA RICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CFY-SLP
Contact information
Practice address
2200 LIBRARY CIR, GRAND FORKS, ND 58201-6326
(701) 757-2155
Mailing address
2200 LIBRARY CIR, GRAND FORKS, ND 58201-6326
(701) 757-2155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1961
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1961
ND STATE BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY
ND
Enumeration date
06/08/2021
Last updated
06/08/2021
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