# PALADIN ACADEMY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598194177
- **Authorized official:** LEISA IRWIN DIRECTOR (DIRECTOR)
- **Authorized official phone:** (763) 786-4798

## Contact information

- **Practice address:** 308 NORTHTOWN DR. NE, BLAINE, MN 55434
- **Practice address phone:** (763) 786-4799
- **Practice address fax:** (763) 786-4798
- **Mailing address:** 308 NORTHTOWN DR. NE, BLAINE, MN 55434
- **Mailing address phone:** (763) 786-4799
- **Mailing address fax:** (763) 786-4798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 190106 | MN | Yes |

## Other

- **Enumeration date:** 11/05/2013
- **Last updated:** 11/05/2013