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NPI Code Detail

MEDICARE: SUSAN ULNESS

MEDICARE: SUSAN ULNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist177ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821125311
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN ULNESS
Provider Business Mailing Address
First Line : PO BOX 2583
Second Line :
City : WILLISTON
State : ND
Zip : 58802-2583
Country : US
Telephone Number : 701-770-6336
Fax Number :
Provider Business Practice Location Address
First Line : 222 UNIVERSITY AVE
Second Line :
City : WILLISTON
State : ND
Zip : 58801-5658
Country : US
Telephone Number : 701-572-6757
Fax Number : 701-744-3532
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 04/24/2014

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Directions to “ SUSAN ULNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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