Angie Thompson, | |
6776 Lake Dr Ste 220, Lino Lakes, MN 55014-1192 | |
(651) 784-7007 | |
Not Available |
Full Name | Angie Thompson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 6776 Lake Dr Ste 220, Lino Lakes, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376153346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 10491 (Minnesota) | Primary |
Provider Name | Advance Speech Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215144654 PECOS PAC ID: 5496064644 Enrollment ID: O20151029000276 |
Mailing Address | Practice Location Address |
---|---|
Angie Thompson, 6139 Pine St, Lino Lakes, MN 55014-2013 Ph: () - | Angie Thompson, 6776 Lake Dr Ste 220, Lino Lakes, MN 55014-1192 Ph: (651) 784-7007 |
Emily Goldhammer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992 | |
Advance Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, Lino Lakes, MN 55014 Phone: 651-784-7007 | |
Shana Banas, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 | |
Kaylen Whetstone, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992 | |
Advance Therapy Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992 | |
Renee Deborah Therrien Bouchareb, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014 Phone: 651-784-7007 | |
Ms. Judith Christensen Gelderman, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992 |