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NPI Code Detail

MEDICARE: ELLA MARIE PEHRSON

MEDICARE: ELLA MARIE PEHRSON
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 PathologistCFDE-219MN

General Provider Information

NPI Number : 1184337552
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLA MARIE PEHRSON
Provider Business Mailing Address
First Line : 900 W 94TH ST
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55420-4206
Country : US
Telephone Number : 651-738-9888
Fax Number :
Provider Business Practice Location Address
First Line : 900 W 94TH ST
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55420-4206
Country : US
Telephone Number : 651-738-9888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2023
Last Update Date : 06/09/2026

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Directions to “ ELLA MARIE PEHRSON ” 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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