Individual
MRS. PAULA JEAN ENTSMINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC, SLP
Contact information
Practice address
14916 CENTRAL AVE NE, HAM LAKE, MN 55304-6114
(612) 850-5109
Mailing address
14916 CENTRAL AVE NE, HAM LAKE, MN 55304-6114
(612) 850-5109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9390
MN
235Z00000X
Speech-Language Pathologist
Primary
LICC-1360
MN
Other
Enumeration date
07/11/2016
Last updated
01/13/2026
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