Organization
ASSOCIATED SPEECH AND LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN M HENIGIN (BUSINESS MANAGER)
(651) 639-0942
Entity
Organization
Contact information
Practice address
1260 COUNTY ROAD E W, ARDEN HILLS, MN 55112-3700
(651) 639-0942
(651) 639-1718
Mailing address
561 7TH ST W, SAINT PAUL, MN 55102-3009
(651) 225-4558
(651) 225-9474
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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