Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Wittrock, CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1871906891

Tara Wittrock, CCC/SLP is a Speech-Language Pathologist in Moose Lake, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
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Practice location Address checks out

4791 County Road 10 Ste 102
Moose Lake, MN 55767-9221
Phone: (218) 485-2020
Fax: (218) 485-2044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 407 E 3rd St, Duluth, MN 55805 — (218) 786-4000

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 9592 (MN)

Record details

NPI number1871906891
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC/SLP
Sole proprietorNo
NPI enumeratedJune 6, 2014
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

Other providers in Moose Lake