Kayla Fisher, M.S CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Mohall, ND
NPI 1457717746 · NPPES record last updated Jan 4, 2016
Key facts
- NPI
- 1457717746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1220 (ND)
- Practice address
- 602 Main St E
Mohall, ND 58761-4100 - Phone
- (701) 756-6831
- NPI assigned
- Jan 4, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1220 | ND | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1220 | ND | Yes |
Addresses
Primary practice location
602 Main St E
Mohall, ND 58761-4100
Mailing address
602 Main St E
Mohall, ND 58761-4100
Phone (701) 756-6831
Other providers in Mohall, ND
- Krista Hope Becker
- Theodore A Brown
- Virginia Jean Engh
- Rachel Hanson
- Paul Daniel Herigstad
- Vera Jones
- Jacqueline Ann Kelly
- Jan Jessie McLean
All providers in Mohall, ND · Speech-Language Pathologist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.