Carrie Latvala Jerylo, MS, CCC-SLP | |
13750 Crosstown Dr Nw, Suite 310, Andover, MN 55304-5853 | |
(763) 755-4275 | |
(763) 755-4261 |
Full Name | Carrie Latvala Jerylo |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 13750 Crosstown Dr Nw, Andover, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770629297 | NPI | - | NPPES |
131G3JE | Other | MN | BLUECROSSBLUESHIELD |
HP34823 | Other | MN | HEALTHPARTNERS |
46-00854 | Other | MN | MEDICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 6292 (Minnesota) | Primary |
Provider Name | Family Speech & Therapy Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235285966 PECOS PAC ID: 8022335397 Enrollment ID: O20150325001650 |
Mailing Address | Practice Location Address |
---|---|
Carrie Latvala Jerylo, MS, CCC-SLP 14060 Aztec St Nw, Andover, MN 55304-7443 Ph: (763) 422-1392 | Carrie Latvala Jerylo, MS, CCC-SLP 13750 Crosstown Dr Nw, Suite 310, Andover, MN 55304-5853 Ph: (763) 755-4275 |
Megan Dierking, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 | |
Mrs. Melissa Sue Lonsky, CCC-SLP, OM Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 13750 Crosstown Dr Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261 | |
Courtney Wagner, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 | |
Kristina Dose, MA, SLLP-CF/DE Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 Fax: 763-755-4261 | |
Ms. Kelsey Anne Wegner, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 | |
Nicole Morrissey, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-350-0371 | |
Kayla Braun, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304 Phone: 763-755-4275 |