| NPI | 1316131485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MARIE KETTERLING Speech Language Pathologist 612-216-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: MN 7265) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2024-06-21 |