Doctor Name: | PETER AMBERG |
NPI Number: | 1033298633 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | 7355 |
Business Practice Address: | 1420 E College Dr Ste 704 Marshall, MN - 562582065 |
Business Phone Number: | 5075323393 |
Business Fax Number: | 3208394196 |
Mailing Address: | 820 Roy St, ORTONVILLE |
State: | MN |
Postal Code: | 562781138 |
Phone Number: | 3208394271 |
Fax Number: | 3208394196 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 03/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7355 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |