Individual
MRS. JULIE RAE SKOKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
5842 BLACKSHIRE PATH, SUITE 201, INVER GROVE HEIGHTS, MN 55076-1619
(651) 554-9940
(651) 554-9941
Mailing address
8056 INGLESIDE AVE S, COTTAGE GROVE, MN 55016-3233
(651) 768-0115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7330
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4600617
MEDICA
MN
01
—
89G61SK
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
09/13/2006
Last updated
07/08/2007
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