Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA WITTROCK, CCC/SLP
ActiveTARA WITTROCK, CCC/SLP is a Speech, Language and Hearing Specialist healthcare provider located in MOOSE LAKE, Minnesota. NPI 1871906891 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · MOOSE LAKE, MN
Registration Details
- NPI Number
- 1871906891
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2014 (12.151903669679 yrs)
- Last Updated
- Aug 14, 2023
- License
-
9592 (MN)
Practice Information
- Address
-
4791 COUNTY ROAD 10 STE 102MOOSE LAKE, MN, 557679221Browse MN providers · Browse ZIP 55767
- Phone
- 2184852020
- Fax
- 2184852044
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in MOOSE LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| REBECCA LOU LIEF-KUSTER | SLP | 1124335302 |
| ELIZABETH LUOMA | SLP | 1962913343 |
| KERI A HALVERSON | CCC/SLP | 1750909735 |
| STACIA SPIESS | MA, CCC-SLP | 1861347163 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.