Individual
SHANNA CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 E CALGARY AVE, BISMARCK, ND 58503-1369
(701) 989-2567
Mailing address
9246 FOREST DR, BISMARCK, ND 58503-6538
(701) 989-2567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
858
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54629
—
ND
Enumeration date
01/29/2007
Last updated
03/20/2024
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