Organization Name: | THE AMAZING JOURNEY, LLC |
NPI Number: | 1194097337 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RYAN MEYER (OPERATIONS MANAGER) |
Mailing Address: | 7658 Design Rd Suite 300 Baxter |
State: | MN US |
Postal Code: | 564258439 |
Phone Number: | 2184544600 |
Fax Number: | 2184544601 |
NPI Enumeration Date: | 02/03/2012 |
NPI Last Update Date: | 04/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8993 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |