Individual
ROBYN HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
309 COLLINS AVE, MANDAN, ND 58554-3002
(701) 663-9531
(701) 663-0328
Mailing address
309 COLLINS AVE, MANDAN, ND 58554-3002
(701) 663-9531
(701) 663-0328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1069
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55488
—
ND
Enumeration date
09/30/2009
Last updated
09/30/2009
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