Individual
BERNADETTE H SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4530 NORTHERN SKY DR, FARGO, ND 58503-5850
(701) 751-6336
Mailing address
PO BOX 2536, BISMARCK, ND 58502-2536
(701) 258-1569
(701) 223-1669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1608
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1608
ND STATE LICENSE
ND
Enumeration date
10/05/2017
Last updated
04/01/2019
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