Individual
ANDREA LANDSIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 20TH AVE SW, MINOT, ND 58701-6447
(701) 721-0468
(701) 760-4868
Mailing address
1712 13TH ST NW, MINOT, ND 58703-1166
(701) 721-0468
(701) 760-4868
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1000
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55176
—
ND
Enumeration date
11/05/2008
Last updated
05/23/2024
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