Carrie Latvala Jerylo in Andover - Speech-language Pathologist
Carrie Latvala Jerylo - NPI 1770629297
Carrie Latvala Jerylo is a Speech-language Pathologist in Andover, Minnesota. Carrie Latvala Jerylo practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Carrie Latvala Jerylo is 1770629297. The last update date is 2007-07-08.
Carrie Latvala Jerylo's current location address is 13750 Crosstown Dr Nw, Andover, Minnesota. You can contact this provider via phone number 7637554275 and fax number 7637554261. The mailing address for Carrie Latvala Jerylo is 13750 Crosstown Dr Nw, Andover, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carrie Latvala Jerylo |
|---|---|
| Address | 13750 Crosstown Dr Nw, Andover, Minnesota |
| Phone Number | 7637554275 |
| Fax Number | 7637554261 |
| Sole Proprietor | N |
| Credentials | M.S., CCC- |
NPI Number Detail
| NPI Number | 1770629297 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13750 Crosstown Dr Nw |
|---|---|
| City | Andover |
| State | Minnesota (MN) |
| Post Code | 5530458530 |
| Phone Number | 7637554275 |
| Fax Number | 7637554261 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 6292 |
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Definition: 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. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 131G3JE | MN | BLUECROSSBLUESHIELD | |
| HP34823 | MN | HEALTHPARTNERS | |
| 46-00854 | MN | MEDICA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carrie Latvala Jerylo by the Centers for Medicare & Medicaid Services?
The Carrie Latvala Jerylo has been assigned the NPI (National Provider Identifier) 1770629297 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Carrie Latvala Jerylo?
The Carrie Latvala Jerylo is situated at 13750 Crosstown Dr Nw, in the city of Andover, state of MN, with the zip code 5530458530.
What is the Carrie Latvala Jerylo's area of specialization and corresponding taxonomy classification?
The Carrie Latvala Jerylo's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
When was the Carrie Latvala Jerylo's 1770629297 issued?
The Carrie Latvala Jerylo's 1770629297 was issued on 2007-01-30.
As of what date were the details related to Carrie Latvala Jerylo most recently updated or revised?
The information pertaining to Carrie Latvala Jerylo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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