Individual
NANCY MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-4259
(763) 755-4275
(763) 755-4261
Mailing address
1891 STATION PKWY NW, ANDOVER, MN 55304-4259
(763) 755-4275
(763) 755-4261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7081
MN
Other
Enumeration date
04/28/2006
Last updated
08/10/2009
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