Wendy Kircher
Individual provider Active NPI Speech-Language Pathologist · Fertile, MN
NPI 1346484441 · NPPES record last updated Apr 21, 2009
Key facts
- NPI
- 1346484441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5740 (MN)
- Practice address
- 4334 330TH Ave
Fertile, MN 56540-9461 - Phone
- (763) 689-5385
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5740 | MN | Yes |
Addresses
Primary practice location
4334 330TH Ave
Fertile, MN 56540-9461
Mailing address
4334 330TH Ave
Fertile, MN 56540-9461
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All providers in Fertile, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.