| Roxana D Lieberg Jordheim, MS, CCC-SLP | |
|
37 Vail Cir, Grand Forks, ND 58201-5165 | |
| (701) 330-7772 | |
| Not Available |
| Full Name | Roxana D Lieberg Jordheim |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 24 Years |
| Location | 37 Vail Cir, Grand Forks, North Dakota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730128133 | NPI | - | NPPES |
| 51030 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 15822 (Oregon) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2620 (North Dakota) | Primary |
| Provider Name | Little Miracles Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821110982 PECOS PAC ID: 0749572543 Enrollment ID: O20160719000977 |
| Mailing Address | Practice Location Address |
|---|---|
| Roxana D Lieberg Jordheim, MS, CCC-SLP 37 Vail Cir, Grand Forks, ND 58201-5165 Ph: (701) 330-7772 | Roxana D Lieberg Jordheim, MS, CCC-SLP 37 Vail Cir, Grand Forks, ND 58201-5165 Ph: (701) 330-7772 |
Andrea Fernandez Flores, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Demers Ave Ste 101, Grand Forks, ND 58201 Phone: 701-741-8057 | |
Jessica Ann Sporbert, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2230 | |
Alyson Potts, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2200 | |
Meredith A. Christiansen, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2600 Demers Ave Ste 101, Grand Forks, ND 58201 Phone: 701-741-8057 | |
Amy Louise Pinkerton, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1375 S Columbia Rd - Altru Performance Center, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-2238 | |
Paola Alvarez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2205 | |
Andrea Goertzen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2400 47th Ave S, Grand Forks, ND 58201 Phone: 701-746-2230 |