Jessica Beck, M.S. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Chaska, MN

NPI 1295197010 · NPPES record last updated Mar 22, 2016

Key facts

NPI
1295197010
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
8541 (MN)
Practice address
569 Concord Dr
Chaska, MN 55318-1643
Phone
(952) 358-0334
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Speech-Language Pathologist Current
since Sep 1, 2024
Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist Current Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist Current
since Sep 1, 2024
Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8541 MN Yes

Addresses

Primary practice location

569 Concord Dr
Chaska, MN 55318-1643

Mailing address

569 Concord Dr
Chaska, MN 55318-1643
Phone (952) 358-0334

Other providers in Chaska, MN

All providers in Chaska, MN · Speech-Language Pathologist in Minnesota

Sources for this page

Verify at the official NPI Registry.