Individual
SANDRA KAY PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
2912 15TH ST S STE C, MOORHEAD, MN 56560-5151
(218) 359-0505
Mailing address
2912 15TH ST S STE C, MOORHEAD, MN 56560-5151
(218) 359-0505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
626
ND
235Z00000X
Speech-Language Pathologist
Primary
8281
MN
Other
Enumeration date
06/25/2012
Last updated
09/25/2025
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