Robert Adam Terrell Jr., MS, CCC-SLP
Speech-Language Pathologist, in Minneapolis, MN. Individual provider (NPI-1).
NPI number1013580901
StatusActive
Last updated in NPPESJul 20, 2021
Details
- NPI
- 1013580901
- Entity type
- Individual (NPI-1)
- Name
- Robert Adam Terrell Jr.
- Credential
- MS, CCC-SLP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2021
- Certification date
- Jul 20, 2021
- Last updated
- Jul 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 10100 | MN | Yes |
Practice location
800 E 28th StMinneapolis, MN 55407-3723
Phone 612-863-4447
Mailing address
800 E 28th StMinneapolis, MN 55407-3723
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