NPI 1245505957
Amy Marie Gundlach, CCCSLP
Practice location
- Address
- 15620 Edgewood Drive Suite 240, Baxter, MN 56425
- Phone
- (218) 454-7012
- Fax
- (218) 454-7015
- Mailing address
- 309 Washington Avenue, Ortonville, MN 56278
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1245505957
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Mar 2012
- Record last updated
- 27 Mar 2013
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.