Elizabeth Sarah Johnson, | |
2795 Pilot Knob Rd Ste 100, Eagan, MN 55121 | |
(651) 994-9644 | |
(651) 994-8962 |
Full Name | Elizabeth Sarah Johnson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2795 Pilot Knob Rd Ste 100, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568962124 | NPI | - | NPPES |
9816 | Other | MN | MNDOH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 9816 (Minnesota) | Primary |
Provider Name | Fairview Express Care |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Provider Name | Healtheast Outpatient Services Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040 |
Provider Name | Childrens Therapy Center Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1295809366 PECOS PAC ID: 8426358854 Enrollment ID: O20151207003001 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Sarah Johnson, 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 Ph: (651) 994-9644 | Elizabeth Sarah Johnson, 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121 Ph: (651) 994-9644 |
Shirin Razavian, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1960 | |
Claudia Christensen-major, MACCCSLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962 | |
Kelly Carlson, MACCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962 | |
Jennifer Bailey, MACCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd, Suite #100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962 | |
Katlyn Elizabeth Dahlstrom, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3305 Central Park Village Dr Ste 130, Eagan, MN 55121 Phone: 651-406-8868 | |
Amanda Enstrom, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3464 Washington Dr, Suite 110, Eagan, MN 55122 Phone: 952-460-4278 | |
Kelsey Falligant, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121 Phone: 651-994-9644 |