Individual
EMILY PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
9220 BASS LAKE RD, SUITE 260, NEW HOPE, MN 55428-3000
(763) 533-0363
Mailing address
9220 BASS LAKE RD, SUITE 260, NEW HOPE, MN 55428-3000
(763) 533-0363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9101
MN
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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