Lisa A Wicktor in Minneapolis - Speech-language Pathologist
Lisa A Wicktor - NPI 1104049162
Lisa A Wicktor is a Speech-language Pathologist in Minneapolis, Minnesota. Lisa A Wicktor practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lisa A Wicktor is 1104049162. The last update date is 2007-07-08.
Lisa A Wicktor's current location address is 701 Park Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128736005 and fax number 6126308242. The mailing address for Lisa A Wicktor is 701 Park Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa A Wicktor |
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Address | 701 Park Ave, Minneapolis, Minnesota |
Phone Number | 6128736005 |
Fax Number | 6126308242 |
Sole Proprietor | N |
Credentials | MA CCC SLP |
NPI Number Detail
NPI Number | 1104049162 |
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Provider Enumeration Date | 2007-04-10 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 701 Park Ave |
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City | Minneapolis |
State | Minnesota (MN) |
Post Code | 554151623 |
Phone Number | 6128736005 |
Fax Number | 6126308242 |
Provider's Primary Taxonomy Detail
Speciality | Speech-language Pathologist |
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Taxonomy | 235Z00000X |
Licence No | 5691 |
Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa A Wicktor by the Centers for Medicare & Medicaid Services?
The Lisa A Wicktor has been assigned the NPI (National Provider Identifier) 1104049162. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lisa A Wicktor's facilities are geographically located?
The facilities of Lisa A Wicktor are physically situated at the following location: 701 Park Ave, Minneapolis, MN, 554151623.
What is the area of specialization for Lisa A Wicktor, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa A Wicktor is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.
When did Lisa A Wicktor receive its 1104049162 assignment?
The Lisa A Wicktor was assigned its 1104049162 on 2007-04-10, which is the date when this unique identifier was issued to the organization.
As of what date were the Lisa A Wicktor's details last updated?
The information pertaining to the Lisa A Wicktor, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1275535502
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