Angela Joyce Anderson, ANGELA ANDERSON
Individual provider Active NPI Speech-Language Pathologist · Saint Paul, MN
NPI 1871821140 · NPPES record last updated Nov 25, 2009
Key facts
- NPI
- 1871821140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7625 (MN)
- Practice address
- 2266 Hillside Avenue
Saint Paul, MN 55108 - Phone
- (651) 644-3159
- NPI assigned
- Nov 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7625 | MN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7625 | MN | Yes |
Addresses
Primary practice location
2266 Hillside Avenue
Saint Paul, MN 55108
Mailing address
2266 Hillside Avenue
Saint Paul, MN 55108
Phone (651) 644-3159
Other providers in Saint Paul, MN
- Alaina Anderson
- Alicia Marie Anderson
- Alyssa Marie Anderson
- Alyssum Meryl Anderson
- Andrea Elizabeth Anderson
- Anthony Wyatt Anderson
- Bethel Anderson
- Britney S Anderson
- Carmen Jo Anderson
- Carolyn Anderson
All providers in Saint Paul, 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 Nov 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.