Jennifer Eileen Haggerty, MS, CCC-SLP | |
1160 Centre Pointe Dr Ste 7, Mendota Heights, MN 55120-1377 | |
(612) 430-6149 | |
Not Available |
Full Name | Jennifer Eileen Haggerty |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1160 Centre Pointe Dr Ste 7, Mendota Heights, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912787359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 528404 (Minnesota) | Primary |
Provider Name | Holland Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467641555 PECOS PAC ID: 1759507882 Enrollment ID: O20140728000366 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Eileen Haggerty, MS, CCC-SLP 47 Spruce Pl Unit 319, Minneapolis, MN 55403-6108 Ph: (219) 707-1388 | Jennifer Eileen Haggerty, MS, CCC-SLP 1160 Centre Pointe Dr Ste 7, Mendota Heights, MN 55120-1377 Ph: (612) 430-6149 |
Mollie Baldus, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1160 Centre Pointe Dr, Mendota Heights, MN 55120 Phone: 952-401-9359 | |
Janna Christine George, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1160 Centre Pointe Dr Ste 7, Mendota Heights, MN 55120 Phone: 952-401-9359 |