Individual
ALISSA BERTHIAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 COUNTY ROAD B2 W, 100, ROSEVILLE, MN 55113-2729
(651) 636-4155
Mailing address
1935 COUNTY ROAD B2 W, 100, ROSEVILLE, MN 55113-2729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9299
MN
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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