Advance Speech Therapy, Llc in Lino Lakes - Speech-language Pathologist
Advance Speech Therapy, Llc - NPI 1215144654
Advance Speech Therapy, Llc is a Speech-language Pathologist in Lino Lakes, Minnesota. Advance Speech Therapy, Llc practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Advance Speech Therapy, Llc is 1215144654. The last update date is 2018-07-02.
Advance Speech Therapy, Llc's current location address is 6776 Lake Dr, Lino Lakes, Minnesota. You can contact this provider via phone number 6517847007 and fax number 6517847992. The mailing address for Advance Speech Therapy, Llc is 6776 Lake Dr, Lino Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advance Speech Therapy, Llc |
|---|---|
| Address | 6776 Lake Dr, Lino Lakes, Minnesota |
| Phone Number | 6517847007 |
| Fax Number | 6517847992 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jensen M Jennifer |
| Credentials | CCC-SLP |
| Telephone Number | 6517847007 |
NPI Number Detail
| NPI Number | 1215144654 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2018-07-02 |
Provider Mailing Address Detail
| Address | 6776 Lake Dr |
|---|---|
| City | Lino Lakes |
| State | Minnesota (MN) |
| Post Code | 550141191 |
| Phone Number | 6517847007 |
| Fax Number | 6517847992 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 8361 |
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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 |
|---|---|---|---|
| 73222200 | MN | -- |
Post Comment/ Review Below
What is the Advance Speech Therapy, Llc's 1215144654?
The Advance Speech Therapy, Llc's NPI (National Provider Identifier) Number is 1215144654. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Advance Speech Therapy, Llc located?
The Advance Speech Therapy, Llc is located at 6776 Lake Dr, Lino Lakes, MN 550141191.
What is Advance Speech Therapy, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Advance Speech Therapy, Llc is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
When did Advance Speech Therapy, Llc receive its 1215144654 assignment?
The Advance Speech Therapy, Llc was assigned its 1215144654 on 2007-05-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Advance Speech Therapy, Llc most recently updated or revised?
The information pertaining to Advance Speech Therapy, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-02.