Ms Kelly Ann Riordan-jaeschke, MS CCC-SLP | |
80 Minnesota Ave, Little Canada, MN 55117-1781 | |
(651) 481-8040 | |
(651) 481-8649 |
Full Name | Ms Kelly Ann Riordan-jaeschke |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 80 Minnesota Ave, Little Canada, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164648028 | NPI | - | NPPES |
01126361 | Other | MN | ASHA MEMBER NUMBER |
7026 | Other | MN | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7026 (Minnesota) | Primary |
Provider Name | Functional Integrated Therapy, Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477640613 PECOS PAC ID: 9234189879 Enrollment ID: O20050131001036 |
Provider Name | Interactive Therapy Services Of Minnesota Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083005664 PECOS PAC ID: 3971828096 Enrollment ID: O20150212001939 |
Mailing Address | Practice Location Address |
---|---|
Ms Kelly Ann Riordan-jaeschke, MS CCC-SLP 698 Roy St S, Saint Paul, MN 55116-1424 Ph: (651) 699-5181 | Ms Kelly Ann Riordan-jaeschke, MS CCC-SLP 80 Minnesota Ave, Little Canada, MN 55117-1781 Ph: (651) 481-8040 |
Ms. Eve Marie Purnell, CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 80 Minnesota Ave, Little Canada, MN 55117 Phone: 651-481-8040 Fax: 651-481-8649 | |
Anna Marie Begley, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 80 Minnesota Ave, Little Canada, MN 55117 Phone: 651-481-8040 | |
Miss Janet Nora Zylinski, M.A. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 80 Minnesota Ave, Little Canada, MN 55117 Phone: 651-481-8040 Fax: 651-481-8649 | |
Lois No Middle Name Given Emmerling-knox, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Therapy Connections For Kids, 80 Minnesota Ave W, Little Canada, MN 55117 Phone: 651-481-8040 Fax: 651-481-8649 |