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 |
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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: Medicare Enrolled 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 | |
Nancy A Paul, MS CCCSLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1104 7th Ave S, Msum Box 119, Moorhead, MN 56563 Phone: 218-477-4642 Fax: 218-477-4392 |