Doctor Name: | MRS. AMY JO CROSS |
NPI Number: | 1356524029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 7547 |
Business Practice Address: | 22 27th Ave Se Minneapolis, MN - 554143102 |
Business Phone Number: | 6123324262 |
Business Fax Number: | 6126736270 |
Mailing Address: | 7540 N 19th Ave, #200 PHOENIX |
State: | AZ |
Postal Code: | 850217967 |
Phone Number: | 8888734221 |
Fax Number: | 8885432289 |
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: | 7547 |
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 |