Julie Johnson, CCC-SLP | |
5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126-5037 | |
(612) 888-4757 | |
Not Available |
Full Name | Julie Johnson |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 5985 Rice Creek Pkwy Ste 205, Shoreview, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689946006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 8614 (Minnesota) | Primary |
Provider Name | Fundamental Kids Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922443522 PECOS PAC ID: 7810278835 Enrollment ID: O20170106000939 |
Mailing Address | Practice Location Address |
---|---|
Julie Johnson, CCC-SLP 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126-5037 Ph: (612) 888-4757 | Julie Johnson, CCC-SLP 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126-5037 Ph: (612) 888-4757 |
Kids Abilities, Inc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 | |
Michele Marie Mcguire, M.S., CCC - SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 | |
Jennifer Ruth Elton, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 439 Carol Ln, Shoreview, MN 55126 Phone: 612-308-6132 Fax: 651-414-9339 | |
Jeanne L Gunvalson, M.S., CCC Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3490 Lexington Ave N, Suite 305, Shoreview, MN 55126 Phone: 651-639-0942 Fax: 651-639-1718 | |
Ms. Danielle S Leddy, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 Fax: 651-481-7040 | |
Abby Husfeldt, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126 Phone: 612-888-4757 | |
Ms. Kathryn Jean O'dea, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 925 Arbogast St, Shoreview, MN 55126 Phone: 651-483-1775 |