Doctor Name: | MR. MICHAEL D NAWROCKI |
NPI Number: | 1932112802 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. CCC |
License Number: | 7261 |
Business Practice Address: | 1133 Rankin St Suite 221 Saint Paul, MN - 551163141 |
Business Phone Number: | 6512227768 |
Business Fax Number: | 6516988994 |
Mailing Address: | 1133 Rankin St, Suite 221 SAINT PAUL |
State: | MN |
Postal Code: | 551163141 |
Phone Number: | 6512227768 |
Fax Number: | 6516988994 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7261 |
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 |