Healthcare Provider Details

I. General information

NPI: 1043940133
Provider Name (Legal Business Name): ABBY BEHM MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 LONDON RD
MARSHALL MN
56258-3070
US

IV. Provider business mailing address

258 WINTER SHOW RD SE APT 214
VALLEY CITY ND
58072-4050
US

V. Phone/Fax

Practice location:
  • Phone: 507-537-2240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2098
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number528446
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: