Healthcare Provider Details

I. General information

NPI: 1972603975
Provider Name (Legal Business Name): HEIDI BROWN SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 5TH ST NE
DEVILS LAKE ND
58301-2425
US

IV. Provider business mailing address

PO BOX 156
MINNEWAUKAN ND
58351-0156
US

V. Phone/Fax

Practice location:
  • Phone: 701-662-2216
  • Fax: 701-401-0104
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number738
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: