Provider Demographics
NPI:1083144331
Name:SANTO, CAMERON JOSEPH (MS - SLP)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:JOSEPH
Last Name:SANTO
Suffix:
Gender:M
Credentials:MS - SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 PRAIRIE PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-3168
Mailing Address - Country:US
Mailing Address - Phone:701-356-7766
Mailing Address - Fax:701-356-7765
Practice Address - Street 1:1150 PRAIRIE PKWY STE 105
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-3168
Practice Address - Country:US
Practice Address - Phone:701-356-7766
Practice Address - Fax:701-356-7765
Is Sole Proprietor?:No
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1579235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist