Carol Hassebroek Speech Pathology Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8910 Issued in MN

Legal business name

CAROL HASSEBROEK SPEECH PATHOLOGY SERVICES, LLC

Practice address

5650 W 36TH St Apt 206
#206
St Louis Park, MN 55416-2543

Phone

(612) 618-1040

NPI assigned

Jun 25, 2015

Last updated

Oct 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carol Ann Hassebroek, M.A., CCC-SLPNPI 1356658736

Title

Owner/Speech-Language Pathologist

Phone

(612) 618-1040

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Ann Hassebroek, MA, CCC-SLP

  • Speech-Language Pathologist
  • St Louis Park, MN
  • NPI 1356658736
  NPD (past) Authorized official

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475366400000",
    "number": "1407238470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 W 36TH ST APT 206",
            "address_2": "#206",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162543",
            "telephone_number": "612-610-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 W 36TH ST APT 206",
            "address_2": "#206",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162543",
            "telephone_number": "612-618-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL HASSEBROEK SPEECH PATHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2016-10-02",
        "status": "A",
        "authorized_official_last_name": "HASSEBROEK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "612-618-1040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "8910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald John Ernest Carlson, PT, DPT
• Kristin A Carlson, RD
• Miriam Yemile Carlson
• Molly Carlson, PT, PDT
• Molly Jo Carlson, M.D.
• Marcia A Caron, MD
• Louann Mueller Carpenter, RN
• Kymberly Heather Carrier, CNP, APRN
• Tori Carroll, PT, DPT
• Joel W Carter, M.D.

• Speech-Language Pathologist in St Louis Park, MN
• Providers in St Louis Park, 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 Oct 2, 2016; 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.