Breanna Jane Minor Valid NPI
Individual provider · Speech-Language Pathologist · La Crosse, WI
- NPI
- 1790164283
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 4117-154 (WI)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2015-05-29
- Last updated
- 2017-01-23
Practice location
901 Caledonia St
La Crosse, WI 54603-2616
(608) 785-4100