Organization Name: | BERTONE SPEECH LANGUAGE & COMMUNICATION SERVICES |
NPI Number: | 1063887255 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARA BERTONE (EXECUTIVE DIRECTOR) |
Mailing Address: | 11606 Wayzata Blvd Minnetonka |
State: | MN US |
Postal Code: | 553052009 |
Phone Number: | 9525440349 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2015 |
NPI Last Update Date: | 12/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7587 |
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 |