Jan Marie Lafavor-clay, CCC-SLP | |
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
(612) 672-6000 | |
Not Available |
Full Name | Jan Marie Lafavor-clay |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2450 Riverside Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770666497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 12010487 (Minnesota) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586 |
Mailing Address | Practice Location Address |
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Jan Marie Lafavor-clay, CCC-SLP 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: () - | Jan Marie Lafavor-clay, CCC-SLP 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 672-6000 |
Abby Traun, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Mail Stop 12208, Minneapolis, MN 55407 Phone: 612-863-4447 | |
Robert Adam Terrell Jr., MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4447 | |
Sarah Kraning, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-3000 | |
Logan Paige Cates, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Department Of Speech Pathology, Minneapolis, MN 55417 Phone: 612-467-3591 | |
Miranda Schroeder, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 420 Delaware St Se, Minneapolis, MN 55455 Phone: 612-273-4155 | |
Daniel Hatfield, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3333 University Ave Se, Minneapolis, MN 55414 Phone: 651-529-1972 | |
Stephanie Marie Palewicz, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 |