NPI 1366800377

Christine Dotzenrod Childress

Practitioner Speech-Language Pathologist Baxter, MN

Practice location

Address: 15620 Edgewood Dr STE 240, Baxter, MN 56401-6983
Phone: (218) 454-7012
Fax: (218) 454-7015
Mailing address: 309 Washington Ave, Ortonville, MN 56278-1357

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 9472 (MN)

Other Speech-Language Pathologist providers in Minnesota →

Registry record

NPI: 1366800377
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Feb 2016
Record last updated: 4 Feb 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.