Organization Name: | MINNESOTA STATE COLLEGES & UNIVERSITIES |
NPI Number: | 1215000963 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE R HANSON (CHAIR) |
Mailing Address: | 1104 7th Ave South Msum Box 119 Moorhead |
State: | MN US |
Postal Code: | 565630001 |
Phone Number: | 2184772330 |
Fax Number: | 2184772330 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |