| Southern Minnesota Speech Pathology | |
|
303 1st Ave Ne, Suite 375, Faribault, MN 55021-5268 | |
| (507) 331-3010 | |
| (507) 262-8114 |
| Full Name | Southern Minnesota Speech Pathology |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 303 1st Ave Ne, Faribault, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346551033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 5368 (Minnesota) | Primary |
| Provider Name | Richard J Dworsky |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851538235 PECOS PAC ID: 8820123920 Enrollment ID: I20100315000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Minnesota Speech Pathology 303 1st Ave Ne, Suite 375, Faribault, MN 55021-5268 Ph: (507) 331-3010 | Southern Minnesota Speech Pathology 303 1st Ave Ne, Suite 375, Faribault, MN 55021-5268 Ph: (507) 331-3010 |
Miss Doreen Anne Tierney, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 35 State Ave, Faribault, MN 55021 Phone: 507-497-3790 | |
Ms. Nancy Henrikson Sommers, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5025 220th St E, Faribault, MN 55021 Phone: 507-334-8751 | |
Briana Fish, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1608 Deerwood Ln, Faribault, MN 55021 Phone: 952-758-6017 | |
Brooke Elizabeth Gnerer, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne, Depot Square Office Building, Suite 375, Faribault, MN 55021 Phone: 507-331-3010 | |
Kelsey Rae Weinandt, M.S, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne Ste 375, Faribault, MN 55021 Phone: 507-331-3010 | |
Richard Joel Dworsky, SLP CCC MA MM Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 303 1st Ave Ne, Faribault, MN 55021 Phone: 507-331-3010 Fax: 507-331-3102 |