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Jessica E Wald, SLP

Speech-Language Pathologist, in Minneapolis, MN. Individual provider (NPI-1).

NPI number1730278359
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1730278359
Entity type
Individual (NPI-1)
Name
Jessica E Wald
Credential
SLP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,7563MNYes

Other names

  • Jessica E Stanton (Former Name)

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Phone 612-672-6000

Mailing address

1925 Serendipity Ct
New Brighton, MN 55112-5308

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