Provider Demographics
NPI:1851794036
Name:ARNDT, PATRICIA BERNICE (SLP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:BERNICE
Last Name:ARNDT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:BERNICE
Other - Last Name:CUYPERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7274 108TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:LAMOURE
Mailing Address - State:ND
Mailing Address - Zip Code:58458-9409
Mailing Address - Country:US
Mailing Address - Phone:701-883-5464
Mailing Address - Fax:701-883-5464
Practice Address - Street 1:119 MAIN STREET SE
Practice Address - Street 2:SUITE A
Practice Address - City:LAMOURE
Practice Address - State:ND
Practice Address - Zip Code:58458-0007
Practice Address - Country:US
Practice Address - Phone:701-883-5464
Practice Address - Fax:701-883-5464
Is Sole Proprietor?:No
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1376235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist