Individual
MRS. LAURA NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 253-1126
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 253-1126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9276
MN
Other
Enumeration date
04/15/2015
Last updated
12/30/2015
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