Red Door Pediatric Therapy, Inc, NPI 1639257033
Speech-Language Pathologist in Bismarck, ND, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1639257033 |
| NPI Entity Type | Organization |
| Provider Name |
Red Door Pediatric Therapy, Inc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 2625 N 19th St, Bismarck, ND, US |
| Provider Mailing Address | 2625 N 19th St, Bismarck, ND, US, 585030574 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Tia-lee Whitted |
| Official Position | FINANCIAL SPECIALIST |
| Phone | 701-214-5617 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Speech-Language Pathologist |
| Classification | |
| Group | |
| License No. | 862 |
| License State | ND |
| Description | The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
No | ||||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
908 | ND | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1450786 | ND | MEDICAID | 05 |
| 1451283 | ND | MEDICAID | 05 |
| 1454142 | ND | MEDICAID | 05 |
| 1467615 | ND | MEDICAID | 05 |
| 1470224 | ND | MEDICAID | 05 |
| 1474097 | ND | MEDICAID | 05 |
| 1477997 | ND | MEDICAID | 05 |
| 1459139 | ND | MEDICAID | 05 |
| 1463121 | ND | MEDICAID | 05 |
| 1452036 | ND | MEDICAID | 05 |
| 1452040 | ND | MEDICAID | 05 |
| 1454300 | ND | MEDICAID | 05 |
| 1464388 | ND | MEDICAID | 05 |
| 1466867 | ND | MEDICAID | 05 |
| 1476591 | ND | MEDICAID | 05 |
| 1480013 | ND | MEDICAID | 05 |
| 1480766 | ND | MEDICAID | 05 |
| 1480833 | ND | MEDICAID | 05 |
| 1481160 | ND | MEDICAID | 05 |
| 1454835 | ND | MEDICAID | 05 |
| 1454897 | ND | MEDICAID | 05 |
| 1465117 | ND | MEDICAID | 05 |
| 1468739 | ND | MEDICAID | 05 |
| 1452184 | ND | MEDICAID | 05 |
| 1461503 | ND | MEDICAID | 05 |
| 1461975 | ND | MEDICAID | 05 |
| 1465122 | ND | MEDICAID | 05 |
| 1468069 | ND | MEDICAID | 05 |
| 1459816 | ND | MEDICAID | 05 |
| 1464384 | ND | MEDICAID | 05 |
| 1466654 | ND | MEDICAID | 05 |
| 1469164 | ND | MEDICAID | 05 |
| 1477918 | ND | MEDICAID | 05 |
| 1477950 | ND | MEDICAID | 05 |
| 1469028 | ND | MEDICAID | 05 |
| 1477752 | ND | MEDICAID | 05 |
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|---|---|---|---|
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|
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|
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DR. DDS Jason O Dahl Individual |
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|
LCSW Erika Louise Lake Individual |
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|
LPCC Megan Tarryn Degenstein Individual |
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