| NPI | 1427674100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH SCHOENECKER Speech Language Pathologist 763-923-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |