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NPI Code Detail

MEDICARE: SYDNEY M HONEK SLP

MEDICARE: SYDNEY M HONEK SLP
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 Pathologist1962ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11962OTHERNDSLP LICENSE

General Provider Information

NPI Number : 1013585207
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY M HONEK SLP
Provider Business Mailing Address
First Line : 701 3RD ST NW
Second Line :
City : JAMESTOWN
State : ND
Zip : 58401-2963
Country : US
Telephone Number : 701-368-1982
Fax Number :
Provider Business Practice Location Address
First Line : 4152 30TH AVE S
Second Line :
City : FARGO
State : ND
Zip : 58104-8524
Country : US
Telephone Number : 701-551-1750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2021
Last Update Date : 01/19/2023

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Directions to “ SYDNEY M HONEK SLP” Practice Location

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