| Melissa Niemi, SLP | |
|
102 W Beaton Dr Ste 105, West Fargo, ND 58078-2653 | |
| (701) 205-4194 | |
| (701) 504-9044 |
| Full Name | Melissa Niemi |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 102 W Beaton Dr Ste 105, West 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 |
|---|---|---|---|
| 1831593052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | ND-1345 (North Dakota) | Secondary |
| 235Z00000X | Speech-language Pathologist | 1345 (North Dakota) | Primary |
| Provider Name | Great Kids Therapy Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558743013 PECOS PAC ID: 7315906062 Enrollment ID: O20041007000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Niemi, SLP 102 W Beaton Dr Ste 105, West Fargo, ND 58078-2653 Ph: (701) 205-4194 | Melissa Niemi, SLP 102 W Beaton Dr Ste 105, West Fargo, ND 58078-2653 Ph: (701) 205-4194 |
Mrs. Krista Ruth Klein, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3420 9th St W, West Fargo, ND 58078 Phone: 701-356-2130 Fax: 701-356-2139 | |
Kari M Schiller, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 102 W Beaton Dr Ste 105, West Fargo, ND 58078 Phone: 701-261-4643 Fax: 701-540-9044 | |
Mrs. Gwendolyn R Keller, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 330 3rd Ave E, West Fargo, ND 58078 Phone: 701-356-2020 | |
Erin Olson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 10th Ave E, West Fargo, ND 58078 Phone: 701-356-2030 | |
Mrs. Colleen Lynn Lewis, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 825 17th Ave E, West Fargo, ND 58078 Phone: 701-356-2090 | |
Dawn Hovden, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 330 3rd Ave E, West Fargo, ND 58078 Phone: 701-356-2020 | |
Lori L Mittag, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 109 3rd St E, West Fargo, ND 58078 Phone: 701-356-2115 Fax: 701-356-2116 |