| NPI | 1679995096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MCCUNE WIPER Owner/Speech Language Pathologist 952-210-3264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |