| Terah Manderfeld, CCC-SLP | |
|
2000 Oakdale Ave, West St Paul, MN 55118-4662 | |
| (651) 554-9500 | |
| Not Available |
| Full Name | Terah Manderfeld |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2000 Oakdale Ave, West St Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922587344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 5095-154 (Wisconsin) | Secondary |
| 235Z00000X | Speech-language Pathologist | 10112 (Minnesota) | Primary |
| Provider Name | Oasis Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1386381598 PECOS PAC ID: 8325427974 Enrollment ID: O20230919003184 |
| Mailing Address | Practice Location Address |
|---|---|
| Terah Manderfeld, CCC-SLP 1223 Ottawa Ave, West St Paul, MN 55118-2009 Ph: (715) 571-5056 | Terah Manderfeld, CCC-SLP 2000 Oakdale Ave, West St Paul, MN 55118-4662 Ph: (651) 554-9500 |
Elise M Jorde, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 61 Thompson Ave W, West St Paul, MN 55118 Phone: 651-259-2920 | |
Meghan Mckusky, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 61 Thompson Ave W, West St Paul, MN 55118 Phone: 651-259-2474 | |
Deanne Haywood, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 183 Conver St, West St Paul, MN 55118 Phone: 612-747-5342 |