| Abby Randall, MS, CCC-SLP | |
|
3001 11th St S, Fargo, ND 58103-6048 | |
| (701) 356-0062 | |
| (701) 356-5412 |
| Full Name | Abby Randall |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3001 11th St S, Fargo, 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 |
|---|---|---|---|
| 1043940133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 528446 (Minnesota) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2098 (North Dakota) | Primary |
| Provider Name | Beyond Boundaries Speech Language Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790999605 PECOS PAC ID: 7315119989 Enrollment ID: O20111004000806 |
| Mailing Address | Practice Location Address |
|---|---|
| Abby Randall, MS, CCC-SLP 3001 11th St S, Fargo, ND 58103-6048 Ph: (701) 356-0062 | Abby Randall, MS, CCC-SLP 3001 11th St S, Fargo, ND 58103-6048 Ph: (701) 356-0062 |
Mrs. Jill S Erickson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1727 South 16th Street, Fargo, ND 58103 Phone: 701-446-4800 | |
Katherine Wilson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2846 Brandt Dr S, Fargo, ND 58104 Phone: 701-232-2340 Fax: 701-232-2330 | |
Sarah Hoepfner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6970 Fax: 701-234-7391 | |
Nancy Knowlton, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 Phone: 701-356-0062 Fax: 701-356-5412 | |
Kayla Marie Flach, MSLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 4500 36th Ave S Ste 200, Fargo, ND 58104 Phone: 701-532-1507 Fax: 701-532-1529 | |
Madison Jewel Neumann, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 405-388-9116 | |
Sydney M Honek, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4152 30th Ave S, Fargo, ND 58104 Phone: 701-551-1750 |