Katelyn Jean Smith, | |
715 Greendale Ln, Vadnais Heights, MN 55127-3514 | |
(651) 621-9987 | |
Not Available |
Full Name | Katelyn Jean Smith |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 715 Greendale Ln, Vadnais 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 |
---|---|---|---|
1194321109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 10620 (Minnesota) | Primary |
Provider Name | Family Achievement Center Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952411175 PECOS PAC ID: 6800795444 Enrollment ID: O20040102000720 |
Mailing Address | Practice Location Address |
---|---|
Katelyn Jean Smith, 715 Greendale Ln, Vadnais Heights, MN 55127-3514 Ph: (651) 621-9987 | Katelyn Jean Smith, 715 Greendale Ln, Vadnais Heights, MN 55127-3514 Ph: (651) 621-9987 |
Emily Dawn Berglund, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 380 Oak Grove Pkwy, Vadnais Heights, MN 55127 Phone: 952-767-4200 | |
Nicole Thoma, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3485 Willow Lake Blvd Ste 300, Vadnais Heights, MN 55110 Phone: 651-797-4430 | |
Ms. Deborah Ann Tatge, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4301 Evergreen Dr, Vadnais Heights, MN 55127 Phone: 651-407-6477 |