MEDICARE: SPEAKRIGHTNOW, LLC

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
1	235Z00000X	Speech-Language Pathologist	331962	MN

General Provider Information

NPI Number	:	1376501254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEAKRIGHTNOW, LLC

Provider Business Mailing Address
First Line	:	439 CAROL LN
Second Line	:
City	:	SHOREVIEW
State	:	MN
Zip	:	55126-4705
Country	:	US
Telephone Number	:	612-308-6132
Fax Number	:	651-414-9339

Provider Business Practice Location Address
First Line	:	439 CAROL LN
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55126-4705
Country	:	US
Telephone Number	:	612-308-6132
Fax Number	:	651-414-9339

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MRS. JENNIFER RUTH ELTON
Credential	:
Telephone Number	:	612-308-6132

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	09/06/2016

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Directions to “SPEAKRIGHTNOW, LLC ” Practice Location

Language	Start Address	Practice Location

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