Kelly Ann Yaeger Scalzo, | |
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-1000 | |
Not Available |
Full Name | Kelly Ann Yaeger Scalzo |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134358856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 8396 (Minnesota) | Primary |
Provider Name | Park Nicollet Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
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Kelly Ann Yaeger Scalzo, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Kelly Ann Yaeger Scalzo, 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-1000 |
Kathryn Trefethren, MACYSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7900 W 28th St, St Louis Park, MN 55426 Phone: 952-920-8380 | |
Miss Melanie Jayne Hagen, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5486 | |
Mrs. Takako Fukuda Truskinovsky, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4330 Cedar Lake Rd S, St Louis Park, MN 55416 Phone: 952-381-3434 Fax: 952-377-1430 | |
Robbie Fast, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5861 Cedar Lake Rd S, St Louis Park, MN 55416 Phone: 763-544-1000 | |
Ms. Kelly Bertenshaw, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4415 W 36 1/2 St, St Louis Park, MN 55416 Phone: 952-927-9717 | |
Mrs. Jennifer Kay Chapdelaine, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Mrs. Shana Kaufman, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2632 Lynn Ave, St Louis Park, MN 55416 Phone: 845-521-9122 |