Individual
LAUREN ELYSE BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3021 HARBOR LN N STE 120, PLYMOUTH, MN 55447-5141
(763) 551-3652
Mailing address
12410 29TH AVE N, PLYMOUTH, MN 55441-2841
(763) 746-6239
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528787
MN
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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