Individual
BROOKE KRISTA BAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8299
Mailing address
2179 SAINT JOHNS ALCOVE, WOODBURY, MN 55129-5803
(612) 743-7830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7736
MN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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