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NPI Code Detail

MEDICARE: AMANDA GRIFFIN MS, CCC-SLP

MEDICARE: AMANDA GRIFFIN MS, CCC-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 Pathologist944ND

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 : 1740372036
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA GRIFFIN MS, CCC-SLP
Provider Business Mailing Address
First Line : 2625 N 19TH ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-0574
Country : US
Telephone Number : 701-222-3175
Fax Number :
Provider Business Practice Location Address
First Line : 2625 N 19TH ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-0574
Country : US
Telephone Number : 701-222-3175
Fax Number : 701-222-3186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 12/18/2024

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