Ashley Lauren Holtan, MS, CCC-SLP | |
120 Labree Ave S, Thief River Falls, MN 56701-2819 | |
(218) 683-4351 | |
Not Available |
Full Name | Ashley Lauren Holtan |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 120 Labree Ave S, Thief River Falls, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033603683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 9117 (Minnesota) | Primary |
Provider Name | Sanford Health Network North |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
Mailing Address | Practice Location Address |
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Ashley Lauren Holtan, MS, CCC-SLP Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (701) 361-1913 | Ashley Lauren Holtan, MS, CCC-SLP 120 Labree Ave S, Thief River Falls, MN 56701-2819 Ph: (218) 683-4351 |
Justine Janecek, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 310 Red Lake Blvd, Thief River Falls, MN 56701 Phone: 218-416-1482 | |
Ashley Michelle Haugen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 310 Red Lake Blvd Ste B, Thief River Falls, MN 56701 Phone: 701-739-5437 Fax: 701-746-9198 | |
Mrs. Eiley Christina Sundby, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-683-4185 |