Whalio Doctors

NPI 1013224773

Tracy Joy Brynelsen, TSLP

Practitioner Speech-Language Pathologist Blaine, MN

Practice location

Address
3030 92nd Ave NE, Blaine, MN 55449-5624
Phone
(651) 269-5055

Registered specialties (2)

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 8982 (MN)
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence TSLP6883 (AZ)

Registry record

NPI
1013224773
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Sep 2010
Record last updated
13 Nov 2023

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.