Organization
WILDFLOWER SPEECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER TAYLOR M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(612) 597-2730
Entity
Organization
Contact information
Practice address
11017 PERRY AVE N, CHAMPLIN, MN 55316-3543
(801) 995-5621
Mailing address
11017 PERRY AVE N, CHAMPLIN, MN 55316-3543
(801) 995-5621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
890633400025
MN
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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