Individual
ADDY BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2633 XENWOOD AVE S, ST LOUIS PARK, MN 55416-1726
(612) 254-1880
Mailing address
2633 XENWOOD AVE S, ST LOUIS PARK, MN 55416-1726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LICC-4081
MN
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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