Whalio Doctors

NPI 1003372012

Tracy Spitzack, SLP

Practitioner Speech-Language Pathologist Blaine, MN

Practice location

Address
12450 Cloud Dr NE, Blaine, MN 55449-6274
Phone
(763) 777-7117
Fax
(651) 401-0598

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 9902 (MN)

Registry record

NPI
1003372012
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Feb 2019
Record last updated
14 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.