Healthcare Provider Details

I. General information

NPI: 1568388064
Provider Name (Legal Business Name): THERESA MARY SZYKULSKI HARRINGTON SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4794 141ST ST W
APPLE VALLEY MN
55124-7795
US

IV. Provider business mailing address

4794 141ST ST W
APPLE VALLEY MN
55124-7795
US

V. Phone/Fax

Practice location:
  • Phone: 952-412-0829
  • Fax:
Mailing address:
  • Phone: 952-412-0829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number298244
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: