| Doctor Name: | TRISHA R. WITMER |
| NPI Number: | 1144383894 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC-SLP |
| License Number: | 5928 |
| Business Practice Address: | 327 Marschall Rd Ste 390 Shakopee, MN - 553791700 |
| Business Phone Number: | 6128073723 |
| Business Fax Number: | 2672879549 |
| Mailing Address: | 6490 Oxford Pl, SHAKOPEE |
| State: | MN |
| Postal Code: | 553797063 |
| Phone Number: | 9522335370 |
| Fax Number: | 2672879549 |
| NPI Enumeration Date: | 12/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5928 |
| 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 |