Chandra Jo Bushard MA CCC SLP

NPI 1083795884 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1083795884
Gender Female
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
100 COBBLESTONE LANE
COURAGE BURNSVILLE
BURNSVILLE MN, 55306, US
Phone (952) 898-5700
Fax (952) 898-5757
Business Location
3915 GOLDEN VALLEY RD
COURAGE CENTER
GOLDEN VALLEY MN, 55422, US
Phone (952) 898-5700
Fax (952) 898-5757
Toxanomy
Taxonomy Code 235Z00000X
License State Minnesota
License Number 7925
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According to our database, Chandra Jo Bushard MA CCC SLP NPI is 1083795884, taxonomy code is 235Z00000X and license number is 7925, license state is located at Minnesota. Chandra Jo Bushard MA CCC SLP physically located at 100 Cobblestone Lane, Burnsville MN, 55306. NPI Number Chandra Jo Bushard MA CCC SLP has the Individual type.

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1083795884 NPI number is provided on an as is basis without warranty of any kind. 1083795884 is maintained by the National Plan & Provider Enumeration System. The contents of Chandra Jo Bushard MA CCC SLP are for informational purposes only.