Provider Demographics
NPI:1023865722
Name:TRUE NORTH SPEECH-LANGUAGE & LITERACY
Entity type:Organization
Organization Name:TRUE NORTH SPEECH-LANGUAGE & LITERACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:K
Authorized Official - Last Name:LANDSIEDEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:701-721-0468
Mailing Address - Street 1:1712 13TH ST NW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-1166
Mailing Address - Country:US
Mailing Address - Phone:701-721-0468
Mailing Address - Fax:701-760-4868
Practice Address - Street 1:1000 20TH AVE SW
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-6447
Practice Address - Country:US
Practice Address - Phone:701-721-0468
Practice Address - Fax:701-760-4868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty