Lisa Arras, MS CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Maple Grove, MN

NPI 1831255165 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1831255165
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7995 (MN)
Practice address
9048 Peony LN N
Maple Grove, MN 55311-4417
Phone
(763) 416-9313
Fax
(763) 416-4530
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7995MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidspeak LTD. Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7995 MN Yes

Addresses

Primary practice location

9048 Peony LN N
Maple Grove, MN 55311-4417

Mailing address

5337 W Hidden Valley Dr
Savage, MN 55378-1980
Phone (952) 736-3713

Other identifiers

IdentifierTypeStateIssuer
77G65AROtherMNBLUE CROSS BLUE SHIELD

Other providers in Maple Grove, MN

All providers in Maple Grove, MN · Speech-Language Pathologist in Minnesota

Sources for this page

Verify at the official NPI Registry.