Individual
KRISTIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 706-5543
(612) 706-5555
Mailing address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 706-5543
(612) 706-5555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9381
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9381
STATE LICENSE
MN
Enumeration date
11/20/2015
Last updated
11/20/2015
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