| NPI | 1336963917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LYNN HAYES Speech Language Pathologist 612-240-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |