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NPI Code Detail

MEDICARE: ELIZABETH SHAWL BRIGGS M.S. SLP

MEDICARE: ELIZABETH SHAWL BRIGGS M.S. 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 Pathologist8531MN

General Provider Information

NPI Number : 1740413608
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SHAWL BRIGGS M.S. SLP
Provider Business Mailing Address
First Line : 3130 GRIMES AVE N
Second Line :
City : ROBBINSDALE
State : MN
Zip : 55422-3217
Country : US
Telephone Number : 763-450-2737
Fax Number : 763-588-8252
Provider Business Practice Location Address
First Line : 3130 GRIMES AVE N
Second Line :
City : ROBBINSDALE
State : MN
Zip : 55422-3217
Country : US
Telephone Number : 763-450-2737
Fax Number : 763-588-8252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2009
Last Update Date : 08/26/2009

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