Individual
MS. JUNE MARIE RYDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
295 PHALEN BLVD, SAINT PAUL, MN 55485
(651) 254-3200
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-3200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
563-154
WI
235Z00000X
Speech-Language Pathologist
Primary
9139
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42746900
—
WI
01
—
563
WISCONSIN LICENSE
WI
Enumeration date
11/21/2006
Last updated
03/18/2021
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