Anna Udenberg, | |
2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 | |
(651) 770-8884 | |
Not Available |
Full Name | Anna Udenberg |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2495 Maplewood Dr Ste 313, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053968537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 10198 (Minnesota) | Primary |
Provider Name | Family Achievement Center Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952411175 PECOS PAC ID: 6800795444 Enrollment ID: O20040102000720 |
Mailing Address | Practice Location Address |
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Anna Udenberg, 2078 Lincoln Ave Lowr Unit, Saint Paul, MN 55105-1043 Ph: () - | Anna Udenberg, 2495 Maplewood Dr Ste 313, Maplewood, MN 55109-1985 Ph: (651) 770-8884 |
Erin Topitzhofer, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2945 Hazelwood St, Maplewood, MN 55109 Phone: 651-232-7800 | |
Samantha Buerger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Sherren Ave E, Maplewood, MN 55109 Phone: 651-770-1365 | |
Functional Kids Clinic Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2495 Maplewood Dr Ste 313, Maplewood, MN 55109 Phone: 651-770-8884 Fax: 651-770-8151 | |
Laura Gunderson, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2395 Ariel St N, Maplewood, MN 55109 Phone: 651-773-3208 | |
Julie Swedburg, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Maplewood Dr Ste 313, Maplewood, MN 55109 Phone: 651-770-8884 Fax: 651-770-8151 | |
Functional Kids Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Maplewood Dr Ste 313, Maplewood, MN 55109 Phone: 651-770-8884 |