Doctor Name: | JENNIFER WOESSNER |
NPI Number: | 1295918993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 9048 Peony Ln N Maple Grove, MN - 553114417 |
Business Phone Number: | 7634169313 |
Business Fax Number: | 7634164530 |
Mailing Address: | 5109 Valley View Rd, EDINA |
State: | MN |
Postal Code: | 554362644 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/17/2007 |
NPI Last Update Date: | 12/17/2007 |
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 |