Mrs Tina Patricia Lavin, SLP | |
6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | |
(952) 993-1000 | |
Not Available |
Full Name | Mrs Tina Patricia Lavin |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 6500 Excelsior Blvd, Saint 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 |
---|---|---|---|
1053439497 | NPI | - | NPPES |
4600293 | Other | MN | MEDICA |
9G930AS | Other | MN | BCBS |
HP43893 | Other | MN | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 6177 (Minnesota) | Primary |
Provider Name | Park Nicollet Clinic |
---|---|
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 |
---|---|
Mrs Tina Patricia Lavin, SLP 709 University Ave W, Saint Paul, MN 55104-4804 Ph: (651) 265-2314 | Mrs Tina Patricia Lavin, SLP 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 Ph: (952) 993-1000 |
Julia Marie Jacobs, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 6099 Wayzata Blvd, Saint Louis Park, MN 55416 Phone: 612-871-1144 Fax: 817-920-0068 | |
Brenna Nicole Pham, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4250 Browndale Ave, Saint Louis Park, MN 55416 Phone: 612-965-5732 | |
Ms. Sara Gonzalez, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Methodist Hospital, 6500 Excelsior Blvd, Saint Louis Park, MN 55416 Phone: 651-340-4372 | |
Brenna Pham Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4250 Browndale Ave, Saint Louis Park, MN 55416 Phone: 612-965-5732 | |
Mrs. Meredith Richards, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4209 Princeton Ave, Saint Louis Park, MN 55416 Phone: 612-790-7970 | |
Cassies Kids Clinic Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5707 Highway 7 Apt 119, Saint Louis Park, MN 55416 Phone: 630-561-4714 |