Carol Rae Mickelson, MS,CCC-SLP | |
6 Pine Tree Dr, Arden Hills, MN 55112-3745 | |
(651) 639-0942 | |
Not Available |
Full Name | Carol Rae Mickelson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 6 Pine Tree Dr, Arden Hills, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922794221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 5372 (Minnesota) | Primary |
Provider Name | Associated Speech And Language Specialists Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881636223 PECOS PAC ID: 1456663160 Enrollment ID: O20150709001670 |
Mailing Address | Practice Location Address |
---|---|
Carol Rae Mickelson, MS,CCC-SLP 2985 Lexington Ave N, Roseville, MN 55113-1915 Ph: (651) 415-0440 | Carol Rae Mickelson, MS,CCC-SLP 6 Pine Tree Dr, Arden Hills, MN 55112-3745 Ph: (651) 639-0942 |
Maria P. Hermanson, M.S., CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1260 West County Rd E, Arden Hills, MN 55112 Phone: 651-639-1718 | |
Stephanie A Butson, M.A., SLPCCC Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1260 County Road E W, Arden Hills, MN 55112 Phone: 651-639-0942 Fax: 651-639-1718 | |
Mackenzie Kaspszak, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4255 Lexington Ave N, Arden Hills, MN 55126 Phone: 535-095-2746 | |
Annie Tate, MA, CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1260 West County Road E, Arden Hills, MN 55112 Phone: 651-639-0942 Fax: 651-639-1718 | |
Noelle Regan Padgitt, M.A., CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1260 West County Rd. E, Arden Hills, MN 55112 Phone: 651-639-0942 | |
Kate J Hawkins, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1992 Glenpaul Ave, Arden Hills, MN 55112 Phone: 763-242-3151 | |
Jenny E. S. Lief, M.A., CCC SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1260 W County Rd E, Arden Hills, MN 55112 Phone: 651-639-0942 Fax: 651-639-1718 |