Individual
CHELSEY ANN GRONEWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
800 16TH AVE SE, MINOT, ND 58701-6781
(701) 852-1399
(701) 838-0613
Mailing address
2965 E TARPON DR STE 150, MERIDIAN, ID 83642-9007
(208) 287-9420
(208) 287-9426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1453
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-1453
LICENSE
ND
Enumeration date
09/17/2015
Last updated
05/09/2018
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