| Center For Speech Language Lea | |
|
434 Hayward Ave N, Oakdale, MN 55128-5379 | |
| (651) 739-2300 | |
| (651) 739-2302 |
| Full Name | Center For Speech Language Lea |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 434 Hayward Ave N, Oakdale, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164588307 | NPI | - | NPPES |
| 27212800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Brenna N Dedeker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417313859 PECOS PAC ID: 7810271988 Enrollment ID: I20170309001286 |
| Provider Name | Jenna E Elliott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215469655 PECOS PAC ID: 1355627969 Enrollment ID: I20170414000598 |
| Provider Name | Aspen Stebbins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225537467 PECOS PAC ID: 7911269642 Enrollment ID: I20180316001921 |
| Provider Name | Haley Rose Boyer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992444863 PECOS PAC ID: 4082065057 Enrollment ID: I20240104001393 |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Speech Language Lea 434 Hayward Ave N, Oakdale, MN 55128-5379 Ph: (651) 739-2300 | Center For Speech Language Lea 434 Hayward Ave N, Oakdale, MN 55128-5379 Ph: (651) 739-2300 |
Jerra-lynn Boudjouk, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6312 45th St N, Oakdale, MN 55128 Phone: 651-777-2181 | |
Katie A. Ryther, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7550 16th Street Ct N, Oakdale, MN 55128 Phone: 763-200-6256 | |
Olivia Christenson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 434 Hayward Ave N, Oakdale, MN 55128 Phone: 651-739-2300 | |
Brenna Dedeker, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 434 Hayward Ave N, Oakdale, MN 55128 Phone: 651-739-2300 Fax: 651-739-2302 | |
Alaina Kelley, M.A., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6230 10th St N, Suite 220, Oakdale, MN 55128 Phone: 651-739-2300 Fax: 651-739-2302 | |
Ms. Hannah Mae Julien, MA, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6230 10th St N, Suite 220, Oakdale, MN 55128 Phone: 651-739-2300 Fax: 651-739-2302 | |
Hannah Jean Jensen, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 434 Hayward Ave N, Oakdale, MN 55128 Phone: 651-739-2300 |