| Jessica Ann Sporbert, SPEECH PATHOLOGIST | |
|
2400 47th Ave S, Grand Forks, ND 58201-3405 | |
| (701) 746-2230 | |
| Not Available |
| Full Name | Jessica Ann Sporbert |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2400 47th Ave S, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013054063 | NPI | - | NPPES |
| 53129 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 818 (North Dakota) | Primary |
| Provider Name | University Of North Dakota |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619905528 PECOS PAC ID: 2961395934 Enrollment ID: O20040204000241 |
| Provider Name | Little Miracles Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821110982 PECOS PAC ID: 0749572543 Enrollment ID: O20160719000977 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Ann Sporbert, SPEECH PATHOLOGIST 818 14th Ave S, Grand Forks, ND 58201-5506 Ph: (701) 746-0672 | Jessica Ann Sporbert, SPEECH PATHOLOGIST 2400 47th Ave S, Grand Forks, ND 58201-3405 Ph: (701) 746-2230 |
Andrea Fernandez Flores, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Demers Ave Ste 101, Grand Forks, ND 58201 Phone: 701-741-8057 | |
Meredith A. Christiansen, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2600 Demers Ave Ste 101, Grand Forks, ND 58201 Phone: 701-741-8057 | |
Amy Louise Pinkerton, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1375 S Columbia Rd - Altru Performance Center, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-2238 | |
Paola Alvarez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2205 | |
Andrea Goertzen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2230 | |
Jody Lynn Paulson, M.S. CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 |