Montana Nelson, | |
10611 Baltimore St Ne Ste 200, Blaine, MN 55449-2846 | |
(763) 755-4261 | |
Not Available |
Full Name | Montana Nelson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 10611 Baltimore St Ne Ste 200, Blaine, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306537899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Family Speech & Therapy Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235285966 PECOS PAC ID: 8022335397 Enrollment ID: O20150325001650 |
Mailing Address | Practice Location Address |
---|---|
Montana Nelson, 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: () - | Montana Nelson, 10611 Baltimore St Ne Ste 200, Blaine, MN 55449-2846 Ph: (763) 755-4261 |
Tracy Spitzack, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12450 Cloud Dr Ne, Blaine, MN 55449 Phone: 763-777-7117 Fax: 651-401-0598 | |
Tracy Joy Brynelsen, TSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3030 92nd Ave Ne, Blaine, MN 55449 Phone: 651-269-5055 | |
Loran Hawkins, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 10611 Baltimore St Ne Ste 200, Blaine, MN 55449 Phone: 763-755-4261 | |
Blooming Connections Pediatric Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3030 92nd Ave Ne, Blaine, MN 55449 Phone: 651-269-5055 | |
Kasey Lynn Wade, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8805 Quincy St Ne, Blaine, MN 55434 Phone: 612-231-3330 | |
Paladin Academy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 308 Northtown Dr. Ne, Blaine, MN 55434 Phone: 763-786-4799 Fax: 763-786-4798 |