Letty Lee Faller, MS,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7559 Issued in MN

Practice address

2400 W 64TH St
Richfield, MN 55423-1001

Phone

(612) 798-8329

Fax

(612) 861-6050

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fraser

  • Rehabilitation Clinic/Center
  • Richfield, MN
  • NPI 1063568574
  NPD (past)
• Fraser Child and Family Center

  • Adolescent and Children Mental Health Clinic/Center
  • Minneapolis, MN
  • NPI 1609922194
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063584332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 MEADOW GRASS CV S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164590",
            "telephone_number": "651-731-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W 64TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231001",
            "telephone_number": "612-798-8329",
            "fax_number": "612-861-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLER",
        "first_name": "LETTY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "044G9FA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evergreen Assisted Living Homes Inc- Red Robin
• Evergreen Care Homes Blue Bird
• Extendicare Homes, Inc. (Richfield Health Center)
• Nicholas Elias Eyvindsson, D.C.
• Fairview Pharmacy Services LLC (Fairview Richfield Medical Clinic MTM RMG)
• Family Endodontic Specialists PLC (Metro Dentalcare Richfield)
• Family Endodontic Specialists PLC (Metro Dentalcare Specialty Center Richfield - Endodontics)
• Family Oral Surgery Specialists PLC (Metro Dentalcare Specialty Center Richfield - Oral Surgery)
• Family Orthodontic Specialists PLC (Woodlake Orthodontics Richfield)
• Family Orthodontic Specialists, PLC (Woodlake Orthodontics Richfield)

• Speech-Language Pathologist in Richfield, MN
• Providers in Richfield, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.