Most Relevant Information
Provider Data
NPI Number: | 1003220179 |
Provider Name: | JESSICA M TONNESSEN M.S., SLP |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 1351 |
Most Important Dates
Enumeration Date: | 06/17/2014 |
Last Updated: | 01/30/2017 |
Provider Practice Location
407 3RD ST SE
MINOT
ND
587014470
Practice Location Phone/Fax
Phone: | 7018575514 |
Fax: | 7018572604 |
Provider Mailing Location
PO BOX 5020
MINOT
ND
587025020
Provider Mailing Phone/Fax
Phone: | 7018575105 |
Fax: | 7018575646 |