Individual
HEIDI AVELSGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. CCC-SLP
Contact information
Practice address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
Mailing address
4530 NORTHERN SKY DR, BISMARCK, ND 58503-8534
(701) 751-6336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1485
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467732
—
ND
Enumeration date
05/18/2016
Last updated
11/21/2019
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