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NPI Code Detail

MEDICARE: MRS. ANGELA DIANE KLEINEDLER MA CCC-SLP

MEDICARE: MRS. ANGELA DIANE KLEINEDLER MA 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 PathologistMN

General Provider Information

NPI Number : 1467773135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA DIANE KLEINEDLER MA CCC-SLP
Provider Business Mailing Address
First Line : 9245 MAAS DR
Second Line :
City : MINNETRISTA
State : MN
Zip : 55375-4405
Country : US
Telephone Number : 763-294-0724
Fax Number :
Provider Business Practice Location Address
First Line : 5621 COUNTY ROAD 101
Second Line :
City : MINNETONKA
State : MN
Zip : 55345-4214
Country : US
Telephone Number : 952-401-6808
Fax Number : 952-401-4022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2010
Last Update Date : 04/02/2026

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Directions to “ MRS. ANGELA DIANE KLEINEDLER MA CCC-SLP” Practice Location

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