Maria Constancia Cabildo Cid

Individual provider Active NPI Speech-Language Pathologist · New Town, ND

NPI 1154811941 · NPPES record last updated May 16, 2018

Key facts

NPI
1154811941
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
422586 (ND)
Practice address
201 2ND Ave E
New Town, ND 58763-4129
Phone
(701) 627-3660
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
422586NDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 422586 ND Yes

Addresses

Primary practice location

201 2ND Ave E
New Town, ND 58763-4129

Mailing address

300 Eagle Dr
New Town, ND 58763-4040
Phone (701) 627-3660

Other providers in New Town, ND

All providers in New Town, ND · Speech-Language Pathologist in North Dakota

Sources for this page

Verify at the official NPI Registry.