Individual
MISS KRISTINA THERESE MELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
9220 BASS LAKE RD STE 260, NEW HOPE, MN 55428-3019
(763) 533-0363
Mailing address
9220 BASS LAKE ROAD, SUITE 260, NEW HOPE, MN 55428
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9109
MN
Other
Enumeration date
08/22/2013
Last updated
05/26/2015
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