Individual
PAMELA J ENGEBRETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
100 COBBLESTONE LANE, COURAGE BURNSVILLE, BURNSVILLE, MN 55337
(952) 898-5700
(952) 898-5757
Mailing address
100 COBBLESTONE LANE, COURAGE BURNSVILLE, BURNSVILLE, MN 55337
(952) 898-5700
(952) 898-5757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5024
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166P7EN
BCBS MINNESOTA
MN
01
—
4600893
MEDICA
MN
01
—
HP52750
HEALTHPARTNERS
MN
Enumeration date
10/27/2006
Last updated
07/08/2007
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