| Organization Name: | REGENTS OF THE UNIVERSITY OF MINNESOTA |
| NPI Number: | 1427243484 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK DERUITER (PROGRAM DIRECTOR) |
| Mailing Address: | 164 Pillsbury Dr Se Minneapolis |
| State: | MN US |
| Postal Code: | 554550279 |
| Phone Number: | 6126243322 |
| Fax Number: | 6126247586 |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 06/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5987 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |