Individual
JOELY WERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
640 JACKSON STREET, REGIONS HOSPITAL, ST. PAUL, MN 55101
(651) 254-2053
Mailing address
3655 GLENHURST AVENUE, ST. LOUIS PARK, MN 55416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8279
MN
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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