Lisa A Wicktor, MACCCSLP
Lisa A Wicktor, MACCCSLP is a Speech-Language Pathologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
Practice location Address checks out
701 Park AveMinneapolis, MN 55415-1623
Phone: (612) 873-3899
Fax: (612) 904-4326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 5691 (MN) |
|---|
Record details
| NPI number | 1104049162 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCCSLP |
| Sole proprietor | No |
| NPI enumerated | April 10, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 701 Park Ave, Minneapolis, MN 55415-1623 |
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