Jenna Paige Basman
Speech-Language Pathologist, in Minnetonka, MN. Individual provider (NPI-1).
NPI number1972178259
StatusActive
Last updated in NPPESMay 20, 2021
Details
- NPI
- 1972178259
- Entity type
- Individual (NPI-1)
- Name
- Jenna Paige Basman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 20, 2021
- Certification date
- May 5, 2021
- Last updated
- May 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | MN | Yes |
Practice location
569 Willoughby Way EMinnetonka, MN 55305-5414
Phone 763-232-2931
Mailing address
569 Willoughby Way EMinnetonka, MN 55305-5414
Phone 763-232-2931
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All 117 Speech-Language Pathologist providers in Minnetonka · All 2,873 providers in Minnetonka
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