Molly Gulden-Prairie, CCC-SLP
Speech-Language Pathologist, in Rochester, MN. Individual provider (NPI-1).
NPI number1396301024
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1396301024
- Entity type
- Individual (NPI-1)
- Name
- Molly Gulden-Prairie
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2019
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 10449 | MN | Yes |
Other names
- Molly Prairie (Former Name)
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Other practice locations
5225 23rd Ave S
Fargo, ND 58104-7927
Fargo, ND 58104-7927
Phone 701-417-3400
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