Stacey Ann Ihle M.A.,CCC-SLP

NPI 1407027899 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1407027899
Gender Female
Enumeration Date 03/13/2008
Last Updated 03/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
825 1ST AVE NW
NEW BRIGHTON MN, 55112-6846, US
Phone (651) 633-7875
Fax (651) 628-9335
Business Location
825 1ST AVE NW
NEW BRIGHTON MN, 55112-6846, US
Phone (651) 633-7875
Fax (651) 628-9335
Toxanomy
Taxonomy Code 235Z00000X
License State Minnesota
License Number 7907
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According to our database, Stacey Ann Ihle M.A.,CCC-SLP NPI is 1407027899, taxonomy code is 235Z00000X and license number is 7907, license state is located at Minnesota. Stacey Ann Ihle M.A.,CCC-SLP physically located at 825 1st Ave Nw, New Brighton MN, 55112-6846. NPI Number Stacey Ann Ihle M.A.,CCC-SLP has the Individual type.

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1407027899 NPI number is provided on an as is basis without warranty of any kind. 1407027899 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Ann Ihle M.A.,CCC-SLP are for informational purposes only.