Jordan Elizabeth Mann, MA, CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Annandale, MN
NPI 1982259156 · NPPES record last updated Aug 5, 2019
Key facts
- NPI
- 1982259156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 10327 (MN)
- Practice address
- 500 Park St E
Annandale, MN 55302-3060 - Phone
- (320) 274-2591
- NPI assigned
- Aug 5, 2019
- 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)
- Yes
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10327 | MN | Yes |
Addresses
Primary practice location
500 Park St E
Annandale, MN 55302-3060
Mailing address
2205 Meadow Oak Ave Apt 318
Monticello, MN 55362-2616
Phone (407) 453-0150
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All providers in Annandale, 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 Aug 5, 2019. 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.