Individual
BAO DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
812 HOLTON ST, SAINT PAUL, MN 55104-1317
(915) 777-5714
Mailing address
812 HOLTON ST, SAINT PAUL, MN 55104-1317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9845
MN
235Z00000X
Speech-Language Pathologist
SP-982
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9845
MINNESOTA DEPARTMENT OF HEALTH
MN
01
—
SP-982
WYOMING STATE BOARD OF EXAMINERS OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
WY
Enumeration date
10/10/2018
Last updated
10/10/2018
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