Provider Demographics
NPI:1891934014
Name:ZIMMER-HALSETH, VALARIE KAY (MS, SLP)
Entity Type:Individual
Prefix:MRS
First Name:VALARIE
Middle Name:KAY
Last Name:ZIMMER-HALSETH
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:VALARIE
Other - Middle Name:KAY
Other - Last Name:ZIMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, SLP
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:VELVA
Mailing Address - State:ND
Mailing Address - Zip Code:58790
Mailing Address - Country:US
Mailing Address - Phone:406-248-8799
Mailing Address - Fax:
Practice Address - Street 1:215 2ND ST SE
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701
Practice Address - Country:US
Practice Address - Phone:406-248-8799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1207235Z00000X
ND1469235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist