Individual
AMY EKBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 LOVELL AVE W, ROSEVILLE, MN 55113-4459
(651) 484-3378
Mailing address
521 ARLINGTON AVE W, SAINT PAUL, MN 55117-3502
(651) 402-8196
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3001
ID
235Z00000X
Speech-Language Pathologist
Primary
9778
MN
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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