Doctor Name: | MRS. REBECCA HATFIELD WALTON |
NPI Number: | 1477836096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 8860 |
Business Practice Address: | 1891 Station Pkwy Nw Andover, MN - 553044259 |
Business Phone Number: | 7637554275 |
Business Fax Number: | |
Mailing Address: | 1150 Cushing Cir, Apt 219 SAINT PAUL |
State: | MN |
Postal Code: | 551085012 |
Phone Number: | 5012303039 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2011 |
NPI Last Update Date: | 09/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8860 |
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 |