Individual
ANDREW WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
815 FOREST AVE, NORTHFIELD, MN 55057-1643
(507) 664-8841
Mailing address
705 4TH ST SE, APT A, WASECA, MN 56093-3064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7364
MN
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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