Jennifer Marie Thull
Individual provider Active NPI Speech-Language Pathologist · Granite Falls, MN
NPI 1013850148 · NPPES record last updated Apr 13, 2026
Key facts
- NPI
- 1013850148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 477738 (MN)
- Practice address
- 450 9TH Ave
Granite Falls, MN 56241-1326 - Phone
- (320) 564-4081
- NPI assigned
- Apr 13, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 477738 | MN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 477738 | MN | Yes |
Addresses
Primary practice location
450 9TH Ave
Granite Falls, MN 56241-1326
Mailing address
450 9TH Ave
Granite Falls, MN 56241-1326
Phone (320) 564-4081
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All providers in Granite Falls, 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 Apr 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.