Individual
DERIK J SCHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
(701) 222-3186
Mailing address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
(701) 222-3186
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1970
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1483465
—
ND
Enumeration date
07/13/2021
Last updated
02/15/2023
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