Individual
ANNE BRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1815 SCHAFER ST, STE 202, BISMARCK, ND 58501-1217
(701) 223-9083
Mailing address
PO BOX 2536, BISMARCK, ND 58502-2536
(701) 223-9083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
376
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12168
BLUE CROSS BLUE SHIELD
ND
05
—
59160
—
ND
05
—
7770280
—
SD
Enumeration date
06/14/2007
Last updated
07/09/2007
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