Teresa Anfinson, SLP

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

NPI 1801939848 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1801939848
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
681 (ND)
Practice address
1415 W Dakota Pkwy
Williston, ND 58801-3885
Phone
(701) 572-6757
Fax
(701) 774-3532
NPI assigned
Feb 15, 2007
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

LicenseStateTypeSpecialty
681NDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 681 ND Yes

Addresses

Primary practice location

1415 W Dakota Pkwy
Williston, ND 58801-3885

Mailing address

1814 15TH Ave W
Williston, ND 58801-3166
Phone (701) 572-6497

Other identifiers

IdentifierTypeStateIssuer
51015MedicaidND

Other providers in Williston, ND

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

Sources for this page

Verify at the official NPI Registry.