| Organization Name: | PEDIATRIC AUTISM & COMMUNICATION THERAPY INSTITUTE, INC. |
| NPI Number: | 1720138589 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANA KIMBERLY WEISE-BROWN (OWNER & DIRECTOR) |
| Mailing Address: | 1014 Mainstreet Hopkins |
| State: | MN US |
| Postal Code: | 553437534 |
| Phone Number: | 9522240707 |
| Fax Number: | 9522241612 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 05/02/2013 |
| 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 |