Mary Nessa Alcala
Individual provider Active NPI Speech-Language Pathologist · New Town, ND
NPI 1720577463 · NPPES record last updated May 8, 2018
Key facts
- NPI
- 1720577463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 425091 (ND)
- Practice address
- 206 2ND Ave E
New Town, ND 58763-4125 - Phone
- (701) 627-3718
- NPI assigned
- May 8, 2018
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 425091 | ND | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 425091 | ND | Yes |
Addresses
Primary practice location
206 2ND Ave E
New Town, ND 58763-4125
Mailing address
PO Box 700
New Town, ND 58763-0700
Phone (701) 627-3718
Other providers in New Town, ND
All providers in New Town, 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 May 8, 2018. 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.