Doctor Name: | MRS. JULIE RAE SKOKAN |
NPI Number: | 1326143850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACCCSLP |
License Number: | 7330 |
Business Practice Address: | 5842 Blackshire Path Suite 201 Inver Grove Heights, MN - 550761619 |
Business Phone Number: | 6515549940 |
Business Fax Number: | 6515549941 |
Mailing Address: | 8056 Ingleside Ave S, COTTAGE GROVE |
State: | MN |
Postal Code: | 550163233 |
Phone Number: | 6517680115 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7330 |
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 |