Organization
LAKE REGION SPECIAL EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE HOVENDICK (DIRECTOR)
(701) 662-7690
Entity
Organization
Contact information
Practice address
801 5TH AVE SE, DEVILS LAKE, ND 58301-3649
(701) 662-7690
(701) 662-7684
Mailing address
801 5TH AVE SE, DEVILS LAKE, ND 58301-3649
(701) 662-7690
(701) 662-7684
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/20/2006
Last updated
09/11/2025
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