Individual
SUZANNE LYNN MACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-R, CCC
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
5357 HELENA RD N, OAKDALE, MN 55128-3049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12067915
MN
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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