Individual
MISS ANASTASIA GRACE REITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2400 W. 64TH ST., MINNEAPOLIS, MN 55423
(612) 798-8350
Mailing address
370 MARSHALL AVE. #408, ST. PAUL, MN 55102-1913
(612) 804-4003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
#8169
MN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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