Individual provider · Type 1 NPI

Lisa A. Wicktor, MA CCC SLP

Speech-Language Pathologist · Minneapolis, MN

NPI number 1104049162 Active

Practice location

701 Park Ave
Minneapolis, MN 55415-1623

Call (612) 873-3899 Map

Fax (612) 904-4326

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X5691 (MN)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1104049162

Lisa A. Wicktor, MA CCC SLP's National Provider Identifier is 1104049162, issued on Apr 10, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.