Doctor Name: | JENNIFER LEUTHOLD |
NPI Number: | 1083870836 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 7913 |
Business Practice Address: | 300 1st Ave Nw Suite 200 Rochester, MN - 559012830 |
Business Phone Number: | 5072982222 |
Business Fax Number: | 5072982227 |
Mailing Address: | 300 1st Ave Nw, Suite 200 ROCHESTER |
State: | MN |
Postal Code: | 559012830 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/31/2008 |
NPI Last Update Date: | 07/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7913 |
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 |