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NPI Code Detail

MEDICARE: ELISSA BETH HELMUTH

MEDICARE: ELISSA BETH HELMUTH
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 Pathologist2670ND

General Provider Information

NPI Number : 1558108118
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISSA BETH HELMUTH
Provider Business Mailing Address
First Line : PO BOX 2397
Second Line :
City : WILLISTON
State : ND
Zip : 58802-2397
Country : US
Telephone Number : 701-572-6757
Fax Number : 701-774-3532
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 : 701-774-3535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2024
Last Update Date : 02/06/2026

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Directions to “ ELISSA BETH HELMUTH ” Practice Location

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