Provider Demographics
NPI:1679635312
Name:HELGESON, DANIELLE (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:HELGESON
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:MARQUART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1311 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-5406
Mailing Address - Country:US
Mailing Address - Phone:701-317-2897
Mailing Address - Fax:701-213-4345
Practice Address - Street 1:3535 S 31ST ST STE 105
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-3592
Practice Address - Country:US
Practice Address - Phone:701-317-2897
Practice Address - Fax:701-213-4345
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND826235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND46-00808OtherMEDICA PROVIDER NUMBER
NDB17341047565OtherPREFERREDONE PIN NUMBER
MN248618000OtherMHCP
ND2239195OtherFIRST HEALTH
ND54526Medicaid
NDHEL23282OtherBCBS ND PROVIDER NUMBER