| Alicia Wolstenholm, | |
|
238 1st Ave Ne, Hazen, ND 58545 | |
| (701) 748-6383 | |
| Not Available |
| Full Name | Alicia Wolstenholm |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 238 1st Ave Ne, Hazen, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336291822 | NPI | - | NPPES |
| 54445 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 846 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Wolstenholm, Box E, Hazen, ND 58545 Ph: (701) 748-6383 | Alicia Wolstenholm, 238 1st Ave Ne, Hazen, ND 58545 Ph: (701) 748-6383 |
Jesse J Krieger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 507 1st Ave Ne, Hazen, ND 58545 Phone: 701-748-6383 | |
Carin Souther, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 507 1st Ave Ne, Hazen, ND 58545 Phone: 701-748-6383 | |
Amber Kaylor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Central Ave, Hazen, ND 58545 Phone: 701-748-6383 |