Laura Berg in Maple Grove - Speech-language Pathologist
Laura Berg - NPI 1306001912
Laura Berg is a Speech-language Pathologist in Maple Grove, Minnesota. Laura Berg practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Laura Berg is 1306001912. The last update date is 2008-07-23.
Laura Berg's current location address is 9048 Peony Ln N, Maple Grove, Minnesota. You can contact this provider via phone number 7634169313 and fax number 7634164530. The mailing address for Laura Berg is 9048 Peony Ln N, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Berg |
|---|---|
| Address | 9048 Peony Ln N, Maple Grove, Minnesota |
| Phone Number | 7634169313 |
| Fax Number | 7634164530 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306001912 |
|---|---|
| Provider Enumeration Date | 2008-07-23 |
| Last Updated Date | 2008-07-23 |
Provider Mailing Address Detail
| Address | 9048 Peony Ln N |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553114417 |
| Phone Number | 7634169313 |
| Fax Number | 7634164530 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 8217 |
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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 |
|---|---|---|---|
| 80N22BE | MN | BC/BS |
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What is the unique 10-digit identifier code issued to Laura Berg by the Centers for Medicare & Medicaid Services?
The Laura Berg has been assigned the NPI (National Provider Identifier) 1306001912 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Laura Berg located?
The Laura Berg is located at 9048 Peony Ln N, Maple Grove, MN 553114417.
What is Laura Berg's area of expertise and its corresponding taxonomy classification?
The Laura Berg's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
When did Laura Berg receive its 1306001912 assignment?
The Laura Berg was assigned its 1306001912 on 2008-07-23, which is the date when this unique identifier was issued to the organization.
As of what date were the Laura Berg's details last updated?
The information pertaining to the Laura Berg, including its address, specialty, and other details, was most recently updated on 2008-07-23.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL