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NPI Code Detail

MEDICARE: ACE SPEECH AND LANGUAGE CLINIC, LLC

MEDICARE: ACE SPEECH AND LANGUAGE CLINIC, 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1326059536
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACE SPEECH AND LANGUAGE CLINIC, LLC
Provider Business Mailing Address
First Line : 1133 RANKIN ST
Second Line : SUITE 221
City : SAINT PAUL
State : MN
Zip : 55116-3141
Country : US
Telephone Number : 651-222-7768
Fax Number : 651-698-8994
Provider Business Practice Location Address
First Line : 1133 RANKIN ST
Second Line : SUITE 221
City : SAINT PAUL
State : MN
Zip : 55116-3141
Country : US
Telephone Number : 651-222-7768
Fax Number : 651-698-8994
Authorized Official
Title or Position : OWNER
Name : MS. KATHLEEN E DAUER
Credential : M.S. CCC
Telephone Number : 651-222-7768
Provider Enumeration Date : 08/11/2006
Last Update Date : 06/11/2008

Similar Medicare Providers

1790797637 — MS. KATHLEEN E DAUER M.S. CCC
Practice Location Address:
1133 RANKIN ST , SUITE 221
SAINT PAUL, MN
55116-3141
Practice Phone: 651-222-7768
Practice Fax: 651-698-8994
1932112802 — MR. MICHAEL D NAWROCKI M.A. CCC
Practice Location Address:
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1285647164 — MS. LINDA K CUMMINGS M.A. CCC
Practice Location Address:
1133 RANKIN ST , SUITE 221
SAINT PAUL, MN
55116-3141
Practice Phone: 651-222-7768
Practice Fax: 651-698-8994
1104974732 — DR. ANITA L KOZAN PHD
Practice Location Address:
1133 RANKIN ST , SUITE 221
SAINT PAUL, MN
55116-3141
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Practice Fax: 651-698-8994
1952590010 — MS. SARAH L SCHNEIDER M.S., CCC
Practice Location Address:
1133 RANKIN ST , SUITE 221
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55116-3141
Practice Phone: 651-222-7768
Practice Fax: 651-698-8994
1154618064 — MS. LINDSEY PADGETT M.A. CCC
Practice Location Address:
1133 RANKIN ST , SUITE 221
SAINT PAUL, MN
55116-3141
Practice Phone: 651-222-7768
Practice Fax: 651-698-8994

Directions to “ACE SPEECH AND LANGUAGE CLINIC, LLC ” Practice Location

Language Start Address Practice Location
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