Jill Suzanne Suppes MS-CCC/SLP

NPI 1326218405 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1326218405
Gender Female
Enumeration Date 03/05/2008
Last Updated 03/05/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3502 UNIVERSITY DR S
FARGO ND, 58104-6228, US
Phone (701) 446-3934
Fax
Business Location
2517 38TH AVE SW
FARGO ND, 58104-7001, US
Phone (701) 232-3698
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State North Dakota
License Number 659
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According to our database, Mr. Jill Suzanne Suppes MS-CCC/SLP NPI is 1326218405, taxonomy code is 235Z00000X and license number is 659, license state is located at North Dakota. Jill Suzanne Suppes MS-CCC/SLP physically located at 3502 University Dr S, Fargo ND, 58104-6228. NPI Number Jill Suzanne Suppes MS-CCC/SLP has the Individual type.

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1326218405 NPI number is provided on an as is basis without warranty of any kind. 1326218405 is maintained by the National Plan & Provider Enumeration System. The contents of Jill Suzanne Suppes MS-CCC/SLP are for informational purposes only.