NPI 1093119786
Amanda Enstrom, MACCCSLP
Practice location
- Address
- 3464 Washington Dr Suite 110, Eagan, MN 55122-1453
- Phone
- (952) 460-4278
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1093119786
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Oct 2014
- Record last updated
- 27 Jul 2016
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.