NPI 1124007463

Shirley M Anderson, MACCCA

Practitioner Audiologist Mankato, MN

Practice location

Address: 1421 Premier Dr Mankato Clinic at Wickersham Campus, Mankato, MN 56001
Phone: (507) 625-1811
Mailing address: PO Box 8674 1230 E Main St, Mankato, MN 56002-8674

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 6054 (MN)

Other Audiologist providers in Minnesota →

Registry record

NPI: 1124007463
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2006
Record last updated: 9 Jul 2020

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.