CRYSTAL BAERWALD


Address: 2810 19th Ave S, Grand Forks, ND 58201-5957
Phone: 7012223175

CRYSTAL BAERWALD (NPI# 1588144539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588144539
Entity Type Individual
Full Name CRYSTAL BAERWALD
Credential CCC-SLP
Practice Address 2810 19th Ave S
Grand Forks
ND 58201-5957
Mailing Address 2625 N 19th St
Bismarck
ND 58503-0574
Practice Telephone 7012223175
Practice Fax Number 7012223186
Mailing Telephone 7012223175
Mailing Fax Number 7012223186
Enumeration Date 2018-08-20
Last Update Date 2020-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND 1476591 05

Office Location

Street Address 2810 19TH AVE S
City GRAND FORKS
State ND
Zip Code 58201-5957

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255965398 Development Homes Inc Intermediate Care Facility, Mentally Retarded 5509 Cottonwood Street, Grand Forks, ND 58201 2020-02-27
1932753779 Lydia Pansegrau Occupational Therapist 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 2019-07-30
1407416019 Kristina Aikens Optometrist 1820 S 42nd St, Grand Forks, ND 58201 2019-06-17
1861963209 Jessica Kovsky Occupational Therapist 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 2018-12-11
1609345834 Altru Specialty Services, Inc Durable Medical Equipment & Medical Supplies 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 2018-11-16
1225523004 Alicia Mae Mack Registered Nurse 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 2018-06-25
1396260808 Amber White Behavior Technician 2016 S Washington St., Grand Forks, ND 58201 2017-08-04
1225579840 Kathleen Suzanne Tillman Psychologist 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 2017-03-15
1881148906 Melissa Pytlik Monson Physician Assistant 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 2016-08-05
1477936029 Laura Jane Carlson Nurse Practitioner 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 2015-07-01
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033771639 Meredith A. Christiansen Speech-Language Pathologist 2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 2019-07-03
1881253755 Jessica Qualley Speech-Language Pathologist 1375 S Columbia Rd, Grand Forks, ND 58201-4015 2019-06-13
1487056966 Nicole Reybok Speech-Language Pathologist 605 Stanford Rd, Grand Forks, ND 58203-2128 2014-09-16
1659797587 Anita Rae Klenner Speech-Language Pathologist 701 Walnut St, Grand Forks, ND 58201-4835 2014-03-17
1285987081 Andrea Rachelle Volk Speech-Language Pathologist 121 N Washington St, Grand Forks, ND 58203-3400 2012-10-18
1619227212 Erin Kocourek Speech-Language Pathologist 3000 Cherry St, Grand Forks, ND 58201-7400 2012-09-12
1699063875 Michelle Rae Spicer Speech-Language Pathologist 1200 S Columbia Rd -altru Hospital, Grand Forks, ND 58201 2011-07-21
1841583820 Chelsey J. Kjono Speech-Language Pathologist 2512 S Washington St Ste C, Grand Forks, ND 58201 2011-05-24
1750578316 Sandra Diane Carr Speech-Language Pathologist 3633 10th Ave N, Grand Forks, ND 58203-2006 2007-09-27
1831389279 Lindsay Dawn Schulz Speech-Language Pathologist 2016 S Washington St, Grand Forks, ND 58201-6342 2007-08-01
Find all providers in GRAND FORKS

Competitor

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City GRAND FORKS
Zip Code 58201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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