Individual
MRS. HEIDI MARIE MATEJKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2930 8TH ST N, FARGO, ND 58102-1417
(701) 446-5240
(701) 446-5299
Mailing address
6313 17TH ST. N, FARGO, ND 58102
(701) 446-5240
(701) 446-5299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
724
ND
Other
Enumeration date
03/06/2008
Last updated
11/08/2021
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