| Chase Johnson, | |
|
307 13th Ave Se, Devils Lake, ND 58301-3209 | |
| (701) 740-6419 | |
| Not Available |
| Full Name | Chase Johnson |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 307 13th Ave Se, Devils Lake, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083209977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2440 (North Dakota) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| Provider Name | Anne Carlsen Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598930109 PECOS PAC ID: 1557687274 Enrollment ID: O20150224000181 |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Johnson, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (701) 234-2000 | Chase Johnson, 307 13th Ave Se, Devils Lake, ND 58301-3209 Ph: (701) 740-6419 |
Rachel Marie Quam, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 412 7th St Ne, Devils Lake, ND 58301 Phone: 701-347-1188 Fax: 701-401-5154 | |
Heidi Grafsgaard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 5th Ave Se, Devils Lake, ND 58301 Phone: 701-662-7690 | |
Speakstrong Therapy, Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 412 7th St Ne, Devils Lake, ND 58301 Phone: 701-347-1188 Fax: 701-402-5154 | |
Mrs. Sheila Halvorson, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 5th Ave Se, Devils Lake, ND 58301 Phone: 701-662-7690 Fax: 701-662-7684 | |
Mrs. Stephanie Lin Hodous, MS CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 5th Ave Se, Devils Lake, ND 58301 Phone: 701-662-7690 Fax: 701-662-7684 | |
Mrs. Jennifer L. White, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 5th Ave Se, Devils Lake, ND 58301 Phone: 701-662-2769 Fax: 701-662-7684 |