Doctor Name: | MRS. JULIE WYNJA |
NPI Number: | 1770931115 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 307SLP |
Business Practice Address: | 1216 N Garfield Ave Dell Rapids, SD - 570221036 |
Business Phone Number: | 6054285473 |
Business Fax Number: | 6054285631 |
Mailing Address: | 47004 247th St, DELL RAPIDS |
State: | SD |
Postal Code: | 570225214 |
Phone Number: | 6054283032 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2016 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 307SLP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
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 |