Rachelle Breann Duerre

Individual provider Active NPI Speech-Language Pathologist · Velva, ND

NPI 1679700595 · NPPES record last updated Jun 18, 2009

Key facts

NPI
1679700595
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1073 (ND)
Practice address
300 Main St S
Souris Valley Care Center
Velva, ND 58790-7342
Phone
(701) 338-2072
Fax
(701) 338-2031
NPI assigned
Jun 18, 2009
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
1073NDMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1073 ND Yes

Addresses

Primary practice location

300 Main St S
Souris Valley Care Center
Velva, ND 58790-7342

Mailing address

600 South Main St.
Manorcare Health Services
Minot ND, ND 58701
Phone (701) 338-2072

Other providers in Velva, ND

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

Sources for this page

Verify at the official NPI Registry.