Individual
TAYLOR NICOLE EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6046 14TH ST S, FARGO, ND 58104-7226
(701) 404-0997
(701) 566-8876
Mailing address
6046 14TH ST S, FARGO, ND 58104-7226
(701) 404-0997
(701) 566-8876
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
528920
MN
Other
Enumeration date
06/01/2021
Last updated
07/24/2025
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