Organization
SPEECH WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON LYNN HEIDLER MS (SPEECH PATHOLOGIST/OWNER OF COMPANY)
(701) 549-3283
Entity
Organization
Contact information
Practice address
9715 129TH AVE NE, WALHALLA, ND 58282-9731
(701) 549-3283
Mailing address
9715 129TH AVE NE, WALHALLA, ND 58282-9731
(701) 549-3283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1115
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1115
NORTH DAKOTA SPEECH-LANGUAGE PATHOLOGY LICENSE
ND
Enumeration date
08/17/2017
Last updated
07/21/2022
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