| Shine On Speech Therapy Llc | |
|
7636 Design Rd Ste 125a, Baxter, MN 56425-8693 | |
| (218) 270-8337 | |
| Not Available |
| Full Name | Shine On Speech Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 7636 Design Rd Ste 125a, Baxter, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285464107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Hannah Judovsky |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376165084 PECOS PAC ID: 4385047547 Enrollment ID: I20210726001700 |
| Mailing Address | Practice Location Address |
|---|---|
| Shine On Speech Therapy Llc Po Box 168, Brainerd, MN 56401-0168 Ph: () - | Shine On Speech Therapy Llc 7636 Design Rd Ste 125a, Baxter, MN 56425-8693 Ph: (218) 270-8337 |
Todd Blowers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13795 Kenwood Dr, Baxter, MN 56425 Phone: 435-313-0686 | |
Teri Kaminski Peterson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15620 Edgewood Dr Ste 240, Baxter, MN 56425 Phone: 218-454-7012 | |
Amy Marie Gundlach, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15620 Edgewood Drive, Suite 240, Baxter, MN 56425 Phone: 218-454-7012 Fax: 218-454-7015 | |
Dr. Sarah Wever, MS, PHD Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 14387 Edgewood Dr, Baxter, MN 56425 Phone: 218-454-5181 | |
Christine Dotzenrod Childress, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15620 Edgewood Dr, Ste 240, Baxter, MN 56401 Phone: 218-454-7012 Fax: 218-454-7015 | |
Ms. Mackenzie Determan, M.S., SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15620 Edgewood Dr, Ste 240, Baxter, MN 56401 Phone: 218-454-7012 Fax: 218-454-7015 |