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NPI Code Detail

MEDICARE: CENTER FOR SPEECH, LANGUAGE AND LEARNING, INC.

MEDICARE: CENTER FOR SPEECH, LANGUAGE AND LEARNING, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164588307
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR SPEECH, LANGUAGE AND LEARNING, INC.
Provider Business Mailing Address
First Line : 434 HAYWARD AVE N
Second Line :
City : OAKDALE
State : MN
Zip : 55128-5379
Country : US
Telephone Number : 651-739-2300
Fax Number : 651-698-1729
Provider Business Practice Location Address
First Line : 434 HAYWARD AVE N
Second Line :
City : OAKDALE
State : MN
Zip : 55128-5379
Country : US
Telephone Number : 651-739-2300
Fax Number : 651-739-2302
Authorized Official
Title or Position : CLINIC MANAGER
Name : MRS. MARCY E MCRAE
Credential :
Telephone Number : 651-739-2300
Provider Enumeration Date : 12/30/2006
Last Update Date : 10/07/2021

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Directions to “CENTER FOR SPEECH, LANGUAGE AND LEARNING, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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