Stephen Gerard Ebert, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5782 Issued in MN

Practice address

2060 Upper 55TH St E
Inver Grove Heights, MN 55077-1725

Phone

(952) 955-2242

Fax

(952) 955-2010

NPI assigned

Apr 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871711697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LEWIS AVE S",
            "address_2": "STE 210",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884500",
            "telephone_number": "952-955-2242",
            "fax_number": "952-955-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 UPPER 55TH ST E",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550771725",
            "telephone_number": "952-955-2242",
            "fax_number": "952-955-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "STEPHEN",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "5782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "20F98EB",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP43123",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Dee Dorey, RN
• Dr. Bruce Lebert OD
• Abdullahi Mohamed Dubed, PHARM.D.
• Dynamic Path Psychological Services, LLC
• East Metro Family Practice, P.a. (East Metro - Inver Grove)
• Erica Eccles-Radtke, PSY.D.
• Andrew Eccles
• Christine Renee Eddy
• Alexandra Elena Edwards, AU.D.
• Connie Eischens

• Speech-Language Pathologist in Inver Grove Heights, MN
• Providers in Inver Grove Heights, 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.