Jill Dimitri, ST
NPI #1568543387 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1568543387
- Entity Type
- Individual
- Name
- Jill Dimitri, ST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- ST
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Oct 2, 2019
Practice Location
- Address
- 2555 COUNTY ROAD E E # 102
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-4906
- Phone
- (651) 683-2953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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