NPI 1043826019

Mara Logerquist, MSCFSLP

Practitioner Speech-Language Pathologist Stillwater, MN

Practice location

Address: 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040
Phone: (651) 439-1234
Fax: (651) 275-3325
Mailing address: 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

Registered specialties (2)

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 518289 (MN)

Other Speech-Language Pathologist providers in Minnesota →

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 5094 (WI)

Registry record

NPI: 1043826019
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2020
Record last updated: 10 Mar 2022

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.