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NPI Code Detail

MEDICARE: SARA M AVERY-BABEL CCC-SLP

MEDICARE: SARA M AVERY-BABEL CCC-SLP
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
1235Z00000XSpeech-Language Pathologist04549MD
2235Z00000XSpeech-Language Pathologist8655MN

General Provider Information

NPI Number : 1376628669
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA M AVERY-BABEL CCC-SLP
Provider Business Mailing Address
First Line : 2385 ARIEL ST N STE B
Second Line : PATIENT ACCOUNTING
City : MAPLEWOOD
State : MN
Zip : 55109-2248
Country : US
Telephone Number : 651-773-3208
Fax Number : 651-783-5612
Provider Business Practice Location Address
First Line : 2385 ARIEL ST N STE B
Second Line : PATIENT ACCOUNTING
City : MAPLEWOOD
State : MN
Zip : 55109-2248
Country : US
Telephone Number : 651-773-3208
Fax Number : 651-783-5612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 01/18/2011

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Directions to “ SARA M AVERY-BABEL CCC-SLP” Practice Location

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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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