Individual
SUSAN MARGARET IMHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC
Contact information
Practice address
1111 MONTANA AVE W, SAINT PAUL, MN 55108-2246
(651) 955-7004
Mailing address
1111 MONTANA AVE W, SAINT PAUL, MN 55108-2246
(651) 955-7004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5154
MN
Other
Enumeration date
05/07/2007
Last updated
03/24/2014
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