Kelly J Fisk-Wanzek, M.A., CCC-SLP Valid NPI

Individual provider · Speech-Language Pathologist · Redwood Falls, MN

NPI

1083736102

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

397218 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2007-04-06

Last updated

2007-07-08