Doctor Name: | MS. SUSAN WATKINS SANDA |
NPI Number: | 1225157662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 7713 |
Business Practice Address: | 464 2nd St Ste 106 Excelsior, MN - 553312108 |
Business Phone Number: | 9524014242 |
Business Fax Number: | |
Mailing Address: | 5821 Eastview Dr, EDINA |
State: | MN |
Postal Code: | 554362410 |
Phone Number: | 9524014242 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 01/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7713 |
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 |