MRS. Courtney Marie Banister
NPI #1033456033 in Fargo, North Dakota
Provider Information
- NPI Number
- 1033456033
- Entity Type
- Individual
- Name
- MRS. Courtney Marie Banister
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 10, 2013
- Last Updated
- Jan 10, 2013
Practice Location
- Address
- 5550 44TH AVE S
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58104-4349
- Phone
- (701) 499-6646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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