Doctor Name: | MRS. JENNA NICOLE RUZYCKI |
NPI Number: | 1205250776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 9232 |
Business Practice Address: | 3333 University Ave Se Minneapolis, MN - 554143325 |
Business Phone Number: | 6122531126 |
Business Fax Number: | |
Mailing Address: | 2520 Burnham Rd, MINNEAPOLIS |
State: | MN |
Postal Code: | 554164334 |
Phone Number: | 7013617704 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2014 |
NPI Last Update Date: | 02/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9232 |
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 |