Individual
AMY LYNN HOLSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
14130 23RD AVE N, PLYMOUTH, MN 55447-4904
(763) 383-7666
(763) 383-6013
Mailing address
10005 UNION TERRACE LN N, MAPLE GROVE, MN 55369-3475
(612) 232-5086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7766
MN
Other
Enumeration date
12/11/2006
Last updated
07/24/2012
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