Individual
ELLYSSA DETTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GLEN ST SW, HUTCHINSON, MN 55350-2428
(952) 223-2506
Mailing address
100 GLEN ST SW, HUTCHINSON, MN 55350-2428
(320) 587-2837
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
04/15/2026
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