Individual
WHITNEY MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 4TH ST. N., FARGO, ND 58102
(701) 446-1014
(701) 446-1200
Mailing address
415 4TH ST. N., FARGO, ND 58102
(701) 446-1014
(701) 446-1200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14050634
—
235Z00000X
Speech-Language Pathologist
Primary
1412
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464128
—
ND
Enumeration date
04/28/2015
Last updated
09/26/2019
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