Red Door Pediatric Therapy, INC

NPI #1639257033 in Bismarck, North Dakota

Provider Information

NPI Number: 1639257033
Entity Type: Organization
Organization Name: Red Door Pediatric Therapy, INC
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Nov 2, 2006
Last Updated: Dec 5, 2024

Practice Location

Address: 2625 N 19TH ST
City: Bismarck
State: North Dakota
ZIP Code: 58503-0574
Phone: (701) 222-3175

Authorized Official

Name: TIA-LEE WHITTED
Title: FINANCIAL/CREDENTIALING
Phone: (701) 214-5617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X	Primary

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Jeanne Kilzer	Speech-Language Pathologist	Bismarck	AI Deep Dive
Amanda Griffin, MS, CCC-SLP	Speech-Language Pathologist	Bismarck	AI Deep Dive
Carrie Axt, SLP	Speech-Language Pathologist	Bismarck	AI Deep Dive
MRS. Nicole S. Bichler, M.S., CCC-SLP	Speech-Language Pathologist	Bismarck	AI Deep Dive

Organizations

Provider Name	Specialty	City
School Board of Bismarck Public School District No 1	Speech-Language Pathologist	Bismarck	AI Deep Dive

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