Revolution Speech Therapy
NPI #1760240808 in Bismarck, North Dakota
Provider Information
- NPI Number
- 1760240808
- Entity Type
- Organization
- Organization Name
- Revolution Speech Therapy
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Mar 12, 2024
- Last Updated
- Mar 20, 2024
Practice Location
- Address
- 2029 BOSTON DR
- City
- Bismarck
- State
- North Dakota
- ZIP Code
- 58504-7417
- Phone
- (701) 202-7723
Authorized Official
- Name
- WENDY HAFNER-BAKKEN, MS, CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (701) 202-7723
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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