Individual
JANA PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1905 14TH ST W, WILLISTON, ND 58801-4063
(701) 651-6437
(701) 516-8462
Mailing address
1905 14TH ST W, WILLISTON, ND 58801-4063
(701) 651-6437
(701) 516-8462
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1866
ND
235Z00000X
Speech-Language Pathologist
6997
LA
Other
Enumeration date
08/05/2013
Last updated
10/27/2022
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