Wittrock, Tara

Wittrock, Tara is an individual health care provider with primary practice located at 4791 County Road 10 Ste 102 , Moose Lake MN 55767-9221. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wittrock, Tara can be contacted via phone (218) 485-2020.

Contact Information

Primary practice address
4791 County Road 10 Ste 102 Moose Lake MN 55767-9221
Phone: (218) 485-2020
Fax: (218) 485-2044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 9592 Minnesota

Profile Details

NPI number 1871906891
LBN Legal business name Wittrock, Tara
Credentials CCC/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2014
Last updated Aug 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers