Mrs. COURTNEY MARIE BANISTER
Individual Provider (NPI-1)
Active
Speech-Language Pathologist,
Provider Information
- NPI Number
1033456033- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1313 30TH AVE S, MOORHEAD, MN, 565605106
- Phone
- (218) 284-3713
Specialties & Taxonomies
Speech-Language Pathologist,
License: MN #1027302
Speech-Language Pathologist,
Primary License: ND #1187
All Addresses
MAILING
1313 30TH AVE S
MOORHEAD, MN, 565605106