Whalio Doctors

NPI 1245505957

Amy Marie Gundlach, CCCSLP

Practitioner Speech-Language Pathologist Baxter, MN

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
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 8722 (MN)

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.