Individual
REBECCA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 3RD AVE, GOODHUE, MN 55027-9137
(651) 923-4447
Mailing address
755 HICKORY WAY UNIT 2, LAKE CITY, MN 55041-6019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
507964
MN
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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