Individual
MRS. REBECCA HATFIELD WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1891 STATION PKWY NW, ANDOVER, MN 55304-4259
(763) 755-4275
Mailing address
1150 CUSHING CIR, APT 219, SAINT PAUL, MN 55108-5012
(501) 230-3039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8860
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8860
MINNESOTA DEPARTMENT OF HEALTH
MN
Enumeration date
09/20/2011
Last updated
09/20/2011
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