Individual
MISS BITA PAYESTEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
115 SHEVLIN HALL, 164 PILLSBURY DR SE, MINNEAPOLIS, MN 55408
(612) 624-3322
Mailing address
115 SHEVLIN HALL, 164 PILLSBURY DR SE, MINNEAPOLIS, MN 55408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104671
TX
Other
Enumeration date
10/28/2009
Last updated
09/16/2011
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