Individual provider · Type 1 NPI

Tara Wittrock, CCC/SLP

Speech-Language Pathologist · Moose Lake, MN

NPI number 1871906891 Active

Practice location

4791 County Road 10 Ste 102
Moose Lake, MN 55767-9221

Call (218) 485-2020 Map

Fax (218) 485-2044

Mailing address

1939 Minnehaha Ave W Ste 300
St. Paul, MN 55104-1033

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X9592 (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 1871906891

Tara Wittrock, CCC/SLP's National Provider Identifier is 1871906891, issued on Jun 6, 2014. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Moose Lake, MN. The record was last updated on Aug 14, 2023.