Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian Pat Connelly

Individual provider Speech-Language Pathologist · NPI 1619743697

Brian Pat Connelly is a Qualified Speech Language Pathologist in Fargo, North Dakota. Qualified in 2023, 3 years ago. Practices with Myna Therapy Services PLLC, a 10-clinician group. Licensed in North Dakota.

Years since qualifying
3
Licensed in
ND
In the registry since
2023
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Practice location Address checks out

3523 45th St S Ste 136
Fargo, ND 58104-8962
Phone: (701) 347-1782
Fax: (701) 404-8274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2530 (ND)

Record details

NPI number1619743697
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 30, 2023
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Myna Therapy Services Pllc — 10 clinicians
Accepts Medicare assignment Not indicated

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