Basic Information
| Provider Information | |||||||||
| NPI: | 1851794036 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARNDT | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | BERNICE | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | SLP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | CUYPERS | ||||||||
| OtherFirstName: | PATRICIA | ||||||||
| OtherMiddleName: | BERNICE | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 7274 108TH AVE SE | ||||||||
| Address2: | |||||||||
| City: | LAMOURE | ||||||||
| State: | ND | ||||||||
| PostalCode: | 584589409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7018835464 | ||||||||
| FaxNumber: | 7018835464 | ||||||||
| Practice Location | |||||||||
| Address1: | 119 MAIN STREET SE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | LAMOURE | ||||||||
| State: | ND | ||||||||
| PostalCode: | 584580007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7018835464 | ||||||||
| FaxNumber: | 7018835464 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2014 | ||||||||
| LastUpdateDate: | 10/02/2014 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 1376 | ND | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.