| NPI | 1053157933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI THOMPSON Speech Language Pathologist 651-402-2637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |