| Mr Lowell Matthew Buysse, MS, CCC-SLP | |
| 1104 7th Ave South, Murray Hall, Moorhead, MN 56563-0001 | |
| (218) 477-2330 | |
| (218) 477-4392 | 
| Full Name | Mr Lowell Matthew Buysse | 
|---|---|
| Gender | Male | 
| Speciality | Speech-language Pathologist | 
| Location | 1104 7th Ave South, Moorhead, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083066252 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 8901 (Minnesota) | Primary | 
| Provider Name | Minnesota State Colleges & Universities | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1215000963 PECOS PAC ID: 2264334663 Enrollment ID: O20140121000489 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Lowell Matthew Buysse, MS, CCC-SLP 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563-0001 Ph: (218) 477-2330 | Mr Lowell Matthew Buysse, MS, CCC-SLP 1104 7th Ave South, Murray Hall, Moorhead, MN 56563-0001 Ph: (218) 477-2330 | 
| Vicki L Riedinger, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563 Phone: 218-477-4627 Fax: 218-477-4392 | |
| Larae A Mcgillivray, MS CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1104 7th Ave S, Msum Box 119, Moorhead, MN 56563 Phone: 218-477-4639 Fax: 218-477-4392 | |
| Louis J Demaio, PHD CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563 Phone: 218-477-4643 Fax: 218-477-4392 | |
| Bruce R Hanson, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563 Phone: 218-477-4641 Fax: 218-477-4392 | |
| Marie E Swanson, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1104 7th Ave South, Msum Box 119, Moorhead, MN 56563 Phone: 218-477-5841 Fax: 218-477-4392 | |
| Stephanie Kay Holm, SLP-CCC-MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1104 7th Ave S, Moorhead, MN 56563 Phone: 218-477-2330 |