Center for Speech, Language and Learning, Inc.
Organization Active NPI Speech-Language Pathologist · Oakdale, MN
NPI 1164588307 · NPPES record last updated Oct 7, 2021
Key facts
- NPI
- 1164588307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- CENTER FOR SPEECH, LANGUAGE AND LEARNING, INC.
- Practice address
- 434 Hayward Ave N
Oakdale, MN 55128-5379 - Phone
- (651) 739-2300
- Fax
- (651) 739-2302
- NPI assigned
- Dec 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Marcy E McRae
- Title
- Clinic Manager
- Phone
- (651) 739-2300
Practitioners 76
-
Lorianne M Michaud, OTRL
-
Jenna Elliott, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100225000357 | MN | Part B Supplier - Clinic/Group Practice | 9931243151 |
Receives reassigned benefits from 4 practitioners Practice locations: Oakdale, MN |
National Provider Directory
Locations
550 Snelling Ave S
Ste 104
Saint Paul, MN 55116
Phone (651) 698-1729
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
434 Hayward Ave N
Oakdale, MN 55128-5379
Mailing address
434 Hayward Ave N
Oakdale, MN 55128-5379
Phone (651) 739-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27212800 | Medicaid | MN |
Other names
- Center for Speech Language Lea
Other providers in Oakdale, MN
- Kimberly Carter
- Megan Carter
- Debra E Caspers
- Michelle Charyssee Caster-Cyprian
- Linnea Cebelinski
- Center for Speech, Language, and Learning, Inc.
- Andrea Chalmers-Grosz
- Pang Chang
- Kristof Chara
- Charles Kaltenberg L.L.C.
All providers in Oakdale, 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 7, 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.