Wordy Bird Pediatric Speech and Language Services LLC
Organization Active NPI Speech-Language Pathologist · Jordan, MN
NPI 1013684885 · NPPES record last updated Oct 13, 2021
Key facts
- NPI
- 1013684885
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- WORDY BIRD PEDIATRIC SPEECH AND LANGUAGE SERVICES LLC
- Practice address
- 225 1St St E
Jordan, MN 55352-1503 - Phone
- (612) 389-8530
- Fax
- (952) 206-7730
- NPI assigned
- Aug 27, 2021
- Organization subpart
- No
Authorized official
- Name
- Heidi Tousignant
- Title
- Owner
- Phone
- (612) 389-8530
Practitioners 1
-
Heidi Marie Pahl Tousignant, M.A., CCC-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210924001744 | MN | Part B Supplier - Clinic/Group Practice | 6406253038 |
Receives reassigned benefits from 1 practitioner Practice locations: Jordan, MN |
National Provider Directory
Locations
225 1st St E
Jordan, MN 55352
Phone (612) 389-8530
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
225 1St St E
Jordan, MN 55352-1503
Mailing address
225 1St St E
Jordan, MN 55352-1503
Phone (612) 389-8530
Other providers in Jordan, MN
- Tyler Daniel Ukkelberg
- Amanda Ungs
- Valleyview of Jordan, LLC
- Vitalnest Home Care LLC
- Julie Ann Wolter
- Joan Marie Young
- Erin Zeller
All providers in Jordan, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.