Individual
ELIZABETH ANN STIER KOONST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
3401 E MEDICINE LAKE BLVD, PLYMOUTH, MN 55441-2307
(763) 559-3123
Mailing address
3401 E MEDICINE LAKE BLVD, PLYMOUTH, MN 55441-2307
(763) 559-3123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14046763
MN
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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