Individual
ROBERTA RAE GUNTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
7800 METRO PKWY, SUITE 300, BLOOMINGTON, MN 55425-1514
(952) 853-0046
Mailing address
7800 METRO PKWY, SUITE 300, BLOOMINGTON, MN 55425-1514
(952) 853-0046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5595
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4895911
TAX ID
MN
Enumeration date
07/05/2007
Last updated
07/08/2007
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